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SAMUEL DOTY
NPI 1689477721
Student in an Organized Health Care Education/Training Program in Fresno, CA

Active since March 31, 2025
1303 E HERNDON AVE, FRESNO, CA 93720(559) 450-3000 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2025, Mar 31, 2025 (2 updates tracked since 2025).

About Samuel Doty NPPES

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

SAMUEL DOTY (NPI 1689477721) is an individual student in an organized health care education/training program in Fresno, California and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1689477721
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL DOTY
Location Address1303 E HERNDON AVEFresno, CA 93720-3309
Mailing Address19121 Nottingham Rd Apt 301Cleveland, OH 44110-2773 · (216) 396-9480
Phone(559) 450-3000
Sole ProprietorYes
Enumeration DateMarch 31, 2025
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1689477721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1303 E HERNDON AVE, Fresno, CA 93720
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Other Providers at the Same Location NPPES 20

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

MINA EMAD HANDAL MD
Student in an Organized Health Care Education/Training Program
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
WILLIAM B ETIZ DO
Anesthesiology
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
DR. THOMAS FUENTEZ JR. CRNA
Nurse Anesthetist, Certified Registered
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
DR. DEREK YIP MD
Student in an Organized Health Care Education/Training Program
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
EKTA CHUGH MD
Student in an Organized Health Care Education/Training Program
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
YANG J KIM MD
Anesthesiology
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
JOHN S STURMAN MD
Anesthesiology
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
VALLEY NUCLEAR MEDICAL GROUP
Nuclear Medicine (Nuclear Imaging & Therapy)
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 449-3109

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 Samuel Doty's NPI number?

The NPI number for Samuel Doty is 1689477721. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Samuel Doty located?

Samuel Doty practices at 1303 E Herndon Ave, Fresno, CA 93720. The listed phone number is (559) 450-3000.

What is Samuel Doty's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samuel Doty was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.