DR. LYNDA MARGARET DICKERSON KHOUZAM (NPI# 1194965806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194965806 |
Entity Type | Individual |
Full Name | DR. LYNDA MARGARET DICKERSON KHOUZAM |
Credential | M.D. |
Practice Address |
1684 W Shaw Ave Suite 101 Fresno CA 93711-3517 |
Practice Telephone | 5592653098 |
Practice Fax Number | 5594973882 |
Mailing Telephone | 5592653098 |
Mailing Fax Number | 5594973882 |
Enumeration Date | 2009-02-20 |
Last Update Date | 2009-02-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | G88143 | CA | Allopathic & Osteopathic Physicians |
Street Address |
1684 W SHAW AVE SUITE 101 |
City | FRESNO |
State | CA |
Zip Code | 93711-3517 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
Find all providers in zip 93711 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
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. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609397405 | Devon Brooke Ward | Pediatrics | 4770 W Herndon Ave Ste 108, Fresno, CA 93722-8401 | 2017-06-30 |
1871024091 | Ali S Arastu | Pediatrics | Valley Children's Hospital, 9300 Valley Children's Place, Fresno, CA 93720 | 2017-03-21 |
1811351992 | Paulinder Ranu | Pediatrics | 5557 E King Cyn Rd, Fresno, CA 93727 | 2016-04-05 |
1811398712 | Cathy Xu Md | Pediatrics | 4646 N 1st St, Ste 102, Fresno, CA 93726-0973 | 2014-09-10 |
1073860680 | Gulafsha Chaudhary | Pediatrics | 7720 N Fresno St Ste 104, Fresno, CA 93720-2407 | 2012-08-14 |
1487919155 | Trenton Ross Hubbard | Pediatrics | 1125 E Spruce Ave Ste 101, Fresno, CA 93720-3387 | 2012-07-09 |
1356641013 | Janelle Fong | Pediatrics | 5088 N. Fresno St, Suite A, Fresno, CA 93710 | 2010-10-28 |
1396921482 | Valley Children's Medical Center, A.m.c. | Pediatrics | 4646 N 1st St Ste 102, Fresno, CA 93726-0973 | 2008-01-18 |
1982808846 | Nicole Tere Banh | Pediatrics | 7055 N Chestnut Ave Ste 106, Fresno, CA 93720-0350 | 2007-06-13 |
1205038429 | Holly Myxuan Luong | Pediatrics | 302 Fresno St Ste 101, Fresno, CA 93706-3641 | 2007-06-01 |
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.