Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770591604 Individual Practitioner Male Practitioner

Dr. Ponniah Mohan , MD

Pediatrics • Fresno, CA

Professional Overview & Biography Verified Profile Summary

Dr. Ponniah Mohan, MD is a registered healthcare professional specializing in Pediatrics in Fresno, CA. Practice services are available at 6255 N FRESNO ST STE 106 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6255 N Fresno St Ste 106
First Pediatrics Medical Group, Inc

Fresno, CA 937105271

Telephone 5594351500
Fax 5594785082
Associated Practice Facility / Clinic
🏢 Rupa Thacker Md Corporation Facility NPI 1275239311

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
163 Specialists

Practicing in Fresno, CA (9612 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA C54717

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MI PM039179

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
3505021342 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1093903262

Doctor of Medicine (M.D.)

Nadia Vaipan , FNP

Nurse Practitioner

NPI 1366089104

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 22, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 22, 2015

Registered at 6255 N FRESNO ST STE 106, FIRST PEDIATRICS MEDICAL GROUP, INC, FRESNO, CA 937105271 (Tel: 5594351500)

📍
Updated Business Mailing Address January 22, 2015

Registered at 6255 N FRESNO ST STE 106, FIRST PEDIATRICS MEDICAL GROUP, INC, FRESNO, CA 937105271 (Tel: 5594351500)

👤
Provider Name / Credentials Updated January 22, 2015

Recorded as PONNIAH MOHAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2015

Pediatrics (License #C54717 in CA)

🟢
Initial NPI Registration & Enumeration August 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770591604
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2006
Last Update: January 22, 2015
Sole Proprietor: No

Mailing Address

6255 N Fresno St Ste 106, First Pediatrics Medical Group, Inc

Fresno, CA 937105271

Phone: 5594351500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.