DR TED Y FISHER A PROFESSIONAL CORPORATION NPI 1235593260

NPI Information

  • NPI: 1235593260
  • Provider Name: DR TED Y FISHER A PROFESSIONAL CORPORATION
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Doing Business As: DESERT VEIN CLINIC
  • Address: 628 G ST
    BRAWLEY, CA
    ZIP 92227
  • Phone: (760) 344-1101

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NPI Details

DR TED Y FISHER A PROFESSIONAL CORPORATION is a medical specialty clinic center in Brawley, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). DR TED Y FISHER A PROFESSIONAL CORPORATION NPI is 1235593260. The provider is registered as an organization entity type.
The provider Is Doing Business As Desert Vein Clinic.

The provider's business location address is:

628 G ST
BRAWLEY, CA
ZIP 92227-544
Phone: (760) 344-1101
Fax: (760) 344-4985

The provider's authorized official is Ted Yoshio Fisher .
The authorized official title is President and has the following contact phone number (972) 822-1957.

The enumeration date for this NPI number is 4/6/2016 and was last updated on 5/19/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyA52523CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F70549MEDICARE UPIN
200220GMEDICAIDTEXAS
30220GMEDICARE 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: 3/30/2025

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