Organization Active NPI

Tower Clinic for Women and Children a Nurse Practioner and Nursing Mid

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1992855514
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RN479392 Issued in CA
Legal business name
TOWER CLINIC FOR WOMEN AND CHILDREN A NURSE PRACTIONER AND NURSING MID
Practice address
1277 N Wishon Ave
Fresno, CA 93728-2346
Phone
(559) 264-7059
Fax
(559) 264-7057
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Carol L Istvanick, FNPNPI 1154331163
Title
Member
Phone
(559) 264-7062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X RN479392 CA Primary

Addresses

Primary practice location

1277 N Wishon Ave
Fresno, CA 93728-2346

Mailing address

1277 N Wishon Ave
Fresno, CA 93728-2346
Phone (559) 264-7059

Other identifiers 2

IdentifierTypeStateIssuer
00G692111MedicaidCA
ZZZ178947OtherCAMEDICARE GROUP #

Other names 1

  • Tower Family Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

1277 N Wishon Ave
Fresno, CA 93728
Phone (559) 264-7062

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1992855514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 N WISHON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937282346",
            "telephone_number": "559-264-7059",
            "fax_number": "559-264-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 N WISHON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937282346",
            "telephone_number": "559-264-7059",
            "fax_number": "559-264-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWER CLINIC FOR WOMEN AND CHILDREN A NURSE PRACTIONER AND NURSING MID",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "ISTVANICK",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "559-264-7062",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "RN479392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G692111",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "ZZZ178947",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tower Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.