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CHESTNUT PEDIATRICS
NPI 1164865291
Clinic/Center - Primary Care in Fresno, CA

Active since April 08, 2013CLIA 05D2059772 · Waiver
7055 N CHESTNUT AVE, SUITE 106, FRESNO, CA 93720(559) 797-4400(559) 797-4401 Get Directions Write a Review

NPPES record last updated: April 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chestnut Pediatrics NPPES

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

CHESTNUT PEDIATRICS (NPI 1164865291) is a healthcare organization registered as a primary care in Fresno, California and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through May 29, 2027 and lists Nicole Banh, Secretary, as its authorized official.

NPPES Registry Identity

NPI1164865291
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCHESTNUT PEDIATRICS
Location Address7055 N CHESTNUT AVE, SUITE 106Fresno, CA 93720-0350
Mailing Address766 E Woodhaven LnFresno, CA 93720-1218 · (559) 978-8669 · Fax (559) 322-2936
Phone(559) 797-4400
Fax(559) 797-4401
Organization SubpartNo
Authorized OfficialNicole BanhSecretary · (559) 978-8669
Enumeration DateApril 8, 2013
✔ NPI 1164865291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · A93159
7055 N CHESTNUT AVE, Fresno, CA 93720
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2059772

Chestnut Pediatrics · Fresno, CA
Active · expires May 29, 2027
CLIA Number05D2059772
Laboratory TypePhysician Office
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorNazzi Mojibi MD
Laboratory Phone(559) 797-4400
Laboratory LocationChestnut Pediatrics7055 N Chestnut Ste 106, Fresno, CA 93720
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

CLIFFORD A YOUNG RPH
Pharmacist (Geriatric)
7055 N CHESTNUT AVE, SUITE 103
FRESNO, CA 93720
Fresno County (209) 631-3221
HUONG QUYNH NGUYEN M.D.
Pediatrics (Pediatric Endocrinology)
7055 N CHESTNUT AVE, SUITE 103
FRESNO, CA 93720
Fresno County (559) 840-2170
MRS. MELISSA K MARTINEZ MS, RD, CDE
Dietitian, Registered
7055 N CHESTNUT AVE, SUITE 103
FRESNO, CA 93720
Fresno County (559) 840-2170
JASMINE KAUR ATWAL M.D.
Psychiatry & Neurology (Psychiatry)
7055 N CHESTNUT AVE, STE 101
FRESNO, CA 93720
Fresno County (559) 298-0111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chestnut Pediatrics's NPI number?

The NPI number for Chestnut Pediatrics is 1164865291. It was assigned to this organization in the NPPES registry on April 8, 2013.

Where is Chestnut Pediatrics located?

Chestnut Pediatrics is located at 7055 N Chestnut Ave Suite 106, Fresno, CA 93720. The listed phone number is (559) 797-4400.

What is Chestnut Pediatrics's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Chestnut Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2059772) is associated with this NPI, valid through May 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chestnut Pediatrics was last updated on April 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.