GREATER FRESNO HEALTH ORGNIZATION, INC. (NPI# 1154656254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154656254 |
| Entity Type | Organization |
| Organization Name | GREATER FRESNO HEALTH ORGNIZATION, INC. |
| Other Organization Name | KINGS WINERY MEDICLA CLINIC |
| Practice Address |
4929 E Kings Canyon Rd Fresno CA 93727-3812 |
| Practice Telephone | 5592556476 |
| Practice Fax Number | 5592557906 |
| Mailing Telephone | 5592556476 |
| Mailing Fax Number | 5592557906 |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2009-10-07 |
| Authorized Official Name | MR. PAUL YANG (PROGRAM MANAGER) |
| Authorized Official Telephone | 5592556476 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 040000336 | CA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | EAP70517F | 05 |
| Other Name | Type Code |
|---|---|
| KINGS WINERY MEDICLA CLINIC | Doing Business As Name - Organization |
| Street Address |
4929 E KINGS CANYON RD |
| City | FRESNO |
| State | CA |
| Zip Code | 93727-3812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811009244 | Kongmong Moua | Physician Assistant | 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 | 2006-08-31 |
| 1952804684 | Maysee Yang | Social Worker | 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 | 2018-03-08 |
| 1275772964 | Thek Mouanoutoua | Physician Assistant | 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 | 2009-02-19 |
| 1164682100 | Vang Vince Moua | Physician Assistant | 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 | 2008-06-12 |
| 1649438425 | Hyacintha Eyiuche Agina | Nurse Practitioner | 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 | 2008-05-28 |
| 1922189489 | Maximo A Parayno Jr. | Psychiatry & Neurology | 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 | 2006-10-18 |
| 1215018783 | Hoang D Tieu | Psychiatry & Neurology | 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 | 2006-10-18 |
| 1811087752 | John James Lubenko | General Practice | 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 | 2006-10-13 |
| 1053401927 | Tou Choua Vang | Pediatrics | 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 | 2006-10-13 |
| 1356431217 | John Vien Dao | General Practice | 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 | 2006-10-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427524354 | Travis L Minor | Driver | 4573 Kings Canyon Rd, Freso, CA 93727 | 2018-10-18 |
| 1780178921 | Amanda Hernandez | Behavior Technician | 6358 E Mono St, Fresno, CA 93727 | 2018-06-20 |
| 1225533169 | Lindsay Fisher | Marriage & Family Therapist | 4928 E Clinton Way Ste 108, Fresno, CA 93727 | 2018-03-23 |
| 1811351992 | Paulinder Ranu | Pediatrics | 5557 E King Cyn Rd, Fresno, CA 93727 | 2016-04-05 |
| 1851781371 | Sheri Taylor | Social Worker | 2010 N Fine Ave # 105, Fresno, CA 93727 | 2015-02-04 |
| 1770917486 | Elouise Jones-green | Counselor | 4491 E. Mckinley Ave #112, Fresno, CA 93727 | 2013-08-29 |
| 1700227022 | Chee Vang | Counselor | 4855 E Kings Canyon Rd Ste 105, Fresno, CA 93727 | 2013-07-15 |
| 1578839791 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5995 E Kings Canyon Rd, Fresno, CA 93727 | 2012-04-02 |
| 1932411378 | Leticia Ball | Marriage & Family Therapist | 4944 E. Clinton Way, Fresno, CA 93727 | 2010-07-13 |
| 1639308158 | Juanita Sermeno | Counselor | 4944 E. Clinton, Suite 101, Fresno, CA 93727 | 2009-07-06 |
| Find all providers in zip 93727 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376672048 | Central California Womens Health Care | Exclusive Provider Organization | 1929 Fulton St, Ste 102, Fresno, CA 93721-1093 | 2007-03-05 |
| 1487709895 | Familiesfirst Inc. | Exclusive Provider Organization | 7080 N Marks Ave, 104, Fresno, CA 93711-0288 | 2007-01-24 |
| 1831597988 | Central Valley Medical Services | Exclusive Provider Organization | 2042 Kern St, Fresno, CA 93721-2008 | 2014-12-05 |
| 1558773085 | Firstchoice Medical Group, Inc. | Exclusive Provider Organization | 1350 O St, Suite 301, Fresno, CA 93721-1828 | 2014-06-02 |
| 1396156030 | Edwyn W. Ortiz-nance Psychological Services | Exclusive Provider Organization | 2080 N Winery Ave, #101, Fresno, CA 93703-4817 | 2014-05-15 |
| 1194924670 | Ajit Singh Khaira Md Inc | Exclusive Provider Organization | 3120 Tulare St, Suite 102, Fresno, CA 93721-1443 | 2007-07-13 |
| 1669596045 | Avante Behavioral Health | Exclusive Provider Organization | 1111 E Herndon Ave, Suite 308, Fresno, CA 93720 | 2007-03-19 |
| 1952425332 | Avante Health | Exclusive Provider Organization | 1111 E Herndon Ave, Suite 308, Fresno, CA 93720 | 2007-03-19 |
| 1114072394 | Families First | Exclusive Provider Organization | 7080 N Marks Ave Ste 104, Fresno, CA 93711-0288 | 2007-01-25 |
| 1396804191 | Paths | Exclusive Provider Organization | 515 S Cedar Ave, Fresno, CA 93702-2908 | 2006-12-07 |
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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.