FARGO MEDS A MEDICAL CORPORATION
NPI 1194424879
Nurse Practitioner - Family in Fresno, CA

Active since March 01, 2023
7011 N HOWARD ST STE 100, FRESNO, CA 93720(559) 304-6314 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2025, Mar 1, 2023 (2 updates tracked since 2023).

About Fargo Meds A Medical Corporation NPPES

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

FARGO MEDS A MEDICAL CORPORATION (NPI 1194424879) is a healthcare organization registered as a family in Fresno, California and active in the NPI registry since March 2023. The organization lists Gita Khattaie, Owner, as its authorized official.

NPPES Registry Identity

NPI1194424879
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFARGO MEDS A MEDICAL CORPORATION
Location Address7011 N HOWARD ST STE 100Fresno, CA 93720-2955
Mailing Address7011 N Howard St Ste 100Fresno, CA 93720-2955
Organization SubpartNo
Authorized OfficialGita KhattaieOwner · (559) 304-6314
Enumeration DateMarch 1, 2023
Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1194424879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
7011 N HOWARD ST STE 100, Fresno, CA 93720

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fargo Meds A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Fargo Meds A Medical Corporation, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1265466759
1300 N FRESNO ST SUITE #220
Fresno, CA 93703
(559) 495-6758
✔ PECOS✔ Accepts Medicare5.4 mi
General Practice
NPI 1679509871
12340 SANTA MONICA BLVD STE 302
Los Angeles, CA 90025
(310) 268-7707
✔ PECOS✔ Accepts Medicare207 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fargo Meds A Medical Corporation's NPI number?

The NPI number for Fargo Meds A Medical Corporation is 1194424879. It was assigned to this organization in the NPPES registry on March 1, 2023.

Where is Fargo Meds A Medical Corporation located?

Fargo Meds A Medical Corporation is located at 7011 N Howard St Ste 100, Fresno, CA 93720. The listed phone number is (559) 304-6314.

What is Fargo Meds A Medical Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Fargo Meds A Medical Corporation enrolled in Medicare?

Yes. Fargo Meds A Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fargo Meds A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Fargo Meds A Medical Corporation, in Family Practice and General Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fargo Meds A Medical Corporation was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.