KETSANA VILAYSANE MD INC. NPI 1902061815

NPI Information

  • NPI: 1902061815
  • Provider Name: KETSANA VILAYSANE MD, INC.
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 6183 N FRESNO ST STE 101
    FRESNO, CA
    ZIP 93710
  • Phone: (559) 432-5003

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NPI Details

KETSANA VILAYSANE MD, INC. is a primary care clinic center in Fresno, CA. KETSANA VILAYSANE MD, INC. NPI is 1902061815. The provider is registered as an organization entity type.

The provider's business location address is:

6183 N FRESNO ST STE 101
FRESNO, CA
ZIP 93710-611
Phone: (559) 432-5003
Fax: (559) 432-5008

The provider's authorized official is Ketsana Vilaysane .
The authorized official title is President and has the following contact phone number (559) 432-5003.

The enumeration date for this NPI number is 7/21/2008 and was last updated on 7/21/2008.

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
1261QP2300XClinic/CenterPrimary CareYes

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: 11/21/2025

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