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ANILA C. THAMPY M.D. INC. NPI 1891911269


NPI Information

NPI: 1891911269
Provider Name: ANILA C. THAMPY, M.D., INC.

Doing Business As: SIERRA PEDIATRIC MEDICAL CENTER INC.

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 05D1046520

Address:
1660 E HERNDON AVE
SUITE 102
FRESNO, CA
ZIP 93720
Phone: (559) 437-9024
Get Directions

ANILA C. THAMPY, M.D., INC. is an adolescent medicine pediatrics in Fresno, CA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. ANILA C. THAMPY, M.D., INC. NPI is 1891911269. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sierra Pediatric Medical Center Inc..

The provider's business location address is:

1660 E HERNDON AVE
SUITE 102
FRESNO, CA
ZIP 93720-359
Phone: (559) 437-9024
Fax: (559) 437-0431

The provider's authorized official is Anila Thampy .
The authorized official title is Physician and has the following contact phone number (559) 284-6264.

The CLIA number assigned to this NPI record is 05D1046520 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 1/19/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent MedicineA48322CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1078104OTHERCALIFORNIAHEATHNET PIN
200A483220MEDICAIDCALIFORNIA
3ZZZ64423ZOTHERCALIFORNIABLUE SHIELD PIN
4H02560OTHERCALIFORNIABLUECROSS PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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