NIPONTH VICHUGSANANON (NPI# 1083753438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083753438 |
| Entity Type | Individual |
| Full Name | NIPONTH VICHUGSANANON |
| Credential | MD |
| Practice Address |
3032 Tulare Street Fresno CA 93721 |
| Practice Telephone | 5592331193 |
| Practice Fax Number | 5592331193 |
| Mailing Telephone | 5592331193 |
| Mailing Fax Number | 5592331193 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2012-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | A37006 | CA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | A37006 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A370060 | 05 | |
| CA | BLUE CROSS | H34118 | 01 |
| Street Address |
3032 TULARE STREET |
| City | FRESNO |
| State | CA |
| Zip Code | 93721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
| 1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
| 1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
| 1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
| 1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
| 1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| Find all providers in zip 93721 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1013361393 | Abby Medical Associates, Inc. | General Practice | 311 N Abby St, Fresno, CA 93701-1906 | 2016-04-22 |
| 1558755181 | Parayno M D Inc | General Practice | 1410 Kern St, 102, Fresno, CA 93706-3322 | 2015-03-20 |
| 1548519549 | Jf Urgent Care Medical Clinics Inc | General Practice | 1359 N Fresno St Ste A, Fresno, CA 93703-3837 | 2012-09-05 |
| 1609125152 | Jf Urgent Care Medical Clinics Inc | General Practice | 5088 N Fresno St Ste A, Fresno, CA 93710-7611 | 2012-08-30 |
| 1891061693 | Elpidio Fonte | General Practice | 2210 E Illinois Ave Ste 201, Fresno, CA 93701-2184 | 2012-03-26 |
| 1346513736 | Allen Kimwo Mau | General Practice | 3976 No. Sherman St, Fresno, CA 93726 | 2012-02-15 |
| 1043513526 | Amor Fernando Md Inc | General Practice | 3766 N 1st St, Fresno, CA 93726-5601 | 2010-12-06 |
| 1912221748 | Eternity Health Care Inc | General Practice | 3742 N 1st St, Fresno, CA 93726-5601 | 2010-03-23 |
| 1295975274 | Central California Sleep Center | General Practice | 7770 N Fresno St Ste 101, Fresno, CA 93720-2412 | 2009-03-03 |
| Find all providers in FRESNO | ||||
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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.