Healthcare Provider Details

I. General information

NPI: 1437339637
Provider Name (Legal Business Name): ANGELA DESAI N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2007
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 E DAKOTA AVE
FRESNO CA
93726-4821
US

IV. Provider business mailing address

1925 E DAKOTA AVE
FRESNO CA
93726
US

V. Phone/Fax

Practice location:
  • Phone: 559-600-9171
  • Fax: 559-455-4783
Mailing address:
  • Phone: 559-600-9171
  • Fax: 559-600-9035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number475289
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: