CLAY ANDREW TAYLOR (NPI# 1063932614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063932614 |
Entity Type | Individual |
Full Name | CLAY ANDREW TAYLOR |
Practice Address |
5241 N Maple Ave Fresno CA 93740-0001 |
Mailing Address |
375 S First St Santa Maria CA 93455-5232 |
Practice Telephone | (805) 332-6906 |
Mailing Telephone | 8053326906 |
Enumeration Date | 2017-06-25 |
Last Update Date | 2017-06-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
Y | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
Street Address |
5241 N MAPLE AVE |
City | FRESNO |
State | CA |
Zip Code | 93740-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396030573 | John Conrado Kuivenhoven | Psychologist | 5241 N Maple Ave, Suite 2, Fresno, CA 93740-0001 | 2011-06-15 |
1114538774 | Allen Swadley | Specialist/Technologist | 5241 N Maple Ave, Fresno, CA 93740-0001 | 2020-08-16 |
1265042964 | Monica Ng | Specialist/Technologist | 5241 N Maple Ave, Fresno, CA 93740-0001 | 2020-08-06 |
1194202523 | Kimberly Lynn Ward | Specialist/Technologist | 5241 N Maple Ave, Fresno, CA 93740-0001 | 2018-07-27 |
1962989756 | Paul Ormonde | Specialist/Technologist | 5241 N Maple Ave, Fresno, CA 93740-0001 | 2018-07-24 |
1053800789 | Teagan Iona Puckett | Specialist/Technologist | 5241 N Maple Ave, Fresno, CA 93740-0001 | 2018-05-08 |
1710417258 | Melissa Samantha Reyes | Specialist/Technologist | 5241 N Maple Ave, Fresno, CA 93740-3125 | 2017-06-18 |
1508396573 | Francisco Javier Valles | Specialist/Technologist | 5241 N Maple Ave, Fresno, CA 93740-0001 | 2017-06-13 |
1861845513 | Joseph Irizarry | Specialist/Technologist | 5241 N Maple Ave, Fresno, CA 93740-0001 | 2016-07-18 |
1467843490 | Joshua Adame | Specialist/Technologist | 5241 N Maple Ave, Fresno, CA 93740-0001 | 2015-02-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336753912 | Fernando Manriquez Magana | Specialist/Technologist | 5241 Nmaple Ave, Fresno, CA 93740 | 2020-09-01 |
1770039414 | Riana R Pryor | Specialist/Technologist | 5275 N. Campus Dr., M/s Sg28, Fresno, CA 93740 | 2016-09-01 |
1194178087 | Zoe Koda Higman | Specialist/Technologist | 1630 E Bulldog Lane, Meyers Family Sports Medicine Center, Fresno, CA 93740 | 2016-07-15 |
1437228483 | Student Health Center | Clinic/Center | 5044n Barton Ave, Fresno, CA 93740 | 2006-11-06 |
1447759287 | Kali Hartzold | Specialist/Technologist | 1630 East Bulldog Lane, Fresno, CA 93740-0001 | 2018-02-07 |
1538685540 | Natalie Davila | Specialist/Technologist | 5275 N Campus Dr M/s Sg28, Fresno, CA 93740-0001 | 2017-08-21 |
1073033148 | Gary Lyle Salinas Jr. | Specialist/Technologist | Department of Kinesiology 5275 N Campus, Fresno, CA 93740-0001 | 2017-06-21 |
1366828147 | Timothy Yeager | Behavioral Analyst | 5048 N Jackson Ave, Fresno, CA 93740-0001 | 2015-08-04 |
1932599362 | Krista Bayers | Specialist/Technologist | 1630 E Bulldog Ln, Fresno, CA 93740-0001 | 2015-01-22 |
1295171007 | California State University Fresno Foundation | Community/Behavioral Health | 5048 N Jackson Ave M S Ls138, Fresno, CA 93740-0001 | 2013-05-20 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
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. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013526672 | Chandni T Patel | Student in an Organized Health Care Education/Training Program | 9715 N Willey Ct, Fresno, CA 93720-5418 | 2020-07-29 |
1649892514 | Jasdeep Brar | Student in an Organized Health Care Education/Training Program | 4409 E Inyo St. Unit A, Fresno, CA 93702-2977 | 2020-05-13 |
1396364048 | Dessere Givertz | Student in an Organized Health Care Education/Training Program | 10155 N Edgewood Dr, Fresno, CA 93720-3423 | 2020-04-13 |
1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
1144849829 | Katelyn Nicole Van Leir | Student in an Organized Health Care Education/Training Program | Surabian Dental Care Center - Suite 2500, 290 N. Wayte Lane, Fresno, CA 93701 | 2020-04-13 |
1669001632 | Hunza Chaudhry | Student in an Organized Health Care Education/Training Program | 155 N Fresno St Ste 307, Fresno, CA 93701-2302 | 2020-04-02 |
1720616345 | Veronica Moffitt | Student in an Organized Health Care Education/Training Program | 6536 N Wheeler Ave, Fresno, CA 93722-3007 | 2020-03-30 |
1225682701 | Mariah Isabel Negrete | Student in an Organized Health Care Education/Training Program | 5503 W Pinedale Ave, Fresno, CA 93722-2348 | 2019-08-01 |
1174184543 | Keschia Matthews | Student in an Organized Health Care Education/Training Program | 2118 Beacon Light Ln, Fresno, TX 77545-7089 | 2019-06-25 |
1710545884 | Tanica Eboni Washington | Student in an Organized Health Care Education/Training Program | 4151 N Blythe Ave Apt 132, Fresno, CA 93722-6376 | 2019-06-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.