JAMES LEE BURDESHAW
NPI 1083589204
Nurse Practitioner in Fresno, CA

Q: What is James Burdeshaw's NPI number?

The NPI number for James Burdeshaw is 1083589204. It was assigned to this individual provider in the NPPES registry on October 7, 2025.

Q: What is James Burdeshaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for James Burdeshaw was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 07, 2025

3656 W SHAW AVE, FRESNO, CA 93711(559) 388-8430 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2026, Oct 7, 2025 (2 updates tracked since 2025).

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About James Lee Burdeshaw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES LEE BURDESHAW (NPI 1083589204) is an individual nurse practitioner in Fresno, California, licensed in California (95035982) and active in the NPI registry since October 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1083589204

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJAMES LEE BURDESHAW

Location Address3656 W SHAW AVEFresno, CA 93711-3231

Mailing Address2021 Herndon Ave Ste 101Clovis, CA 93611-6316 · (559) 797-4315

Phone(559) 388-8430

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 7, 2025

Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration

NPPES CertifiedMarch 2, 2026

✔ NPI 1083589204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95035982

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3656 W SHAW AVE, Fresno, CA 93711

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Lee Burdeshaw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052802147

PECOS Enrollment IDI20251117003129

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ERIKNAZ KOROYAN FNP-C

Nurse Practitioner (Family)