DR. JONATHAN DAVID GROSSMAN (NPI# 1225242332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225242332 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN DAVID GROSSMAN |
| Credential | MD |
| Practice Address |
45 E River Park Pl W Suite 104 Fresno CA 93720-1562 |
| Mailing Address |
2625 E Divisadero St Fresno CA 93721-1431 |
| Practice Telephone | 5594597300 |
| Practice Fax Number | 5594593750 |
| Mailing Telephone | 5594535200 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
A98906 | CA | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
A98906 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 255 N Herwaldt Dr, Fresno, CA 937012186 | 5594597300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093210114 | Jonathan Taylor Grossman | Student in an Organized Health Care Education/Training Program | 71 Haynes St, Manchester, CT 06040-4131 | 2018-03-29 |
| 1578528667 | Jonathan Grossman | Social Worker | 1855 Union Blvd, Bay Shore, NY 11706-7949 | 2006-04-20 |
| Street Address |
45 E RIVER PARK PL W SUITE 104 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-1562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548243389 | Mark Levy | Neurological Surgery | 45 E River Park Pl W, Suite 104, Fresno, CA 93720-1562 | 2005-11-25 |
| 1124577408 | Jordan S Bevan | Physician Assistant | 45 E River Park Pl W, Fresno, CA 93720-1562 | 2016-09-27 |
| 1972058584 | Marne Burch Johnson | Nurse Practitioner | 45 E River Park Pl W, Fresno, CA 93720-1562 | 2016-08-24 |
| 1407242456 | Zhijian Wang | Physician Assistant | 45 E River Park Pl W, Suite 104, Fresno, CA 93720-1562 | 2015-04-07 |
| 1003158056 | Kimberley Kaur Voelz | Physical Therapist | 45 E River Park Pl W, Fresno, CA 93720-1562 | 2013-03-17 |
| 1205171261 | Georgiana Akan Koko | Nurse Practitioner | 45 E River Park Pl W, Fresno, CA 93720-1562 | 2012-12-03 |
| 1205111069 | Genevieve Faye Smith | Nurse Practitioner | 45 E River Park Pl W, Suite 104, Fresno, CA 93720-1562 | 2011-10-12 |
| 1720366024 | Robert Wiliam John Ryan | Neurological Surgery | 45 E River Park Pl W, Suite 104, Fresno, CA 93720-1562 | 2011-08-03 |
| 1790963270 | Daniel James Miller | Neurological Surgery | 45 E River Park Pl W, Suite 104, Fresno, CA 93720-1562 | 2008-02-06 |
| 1861694242 | Armen Choulakian | Neurological Surgery | 45 E River Park Pl W, Suite 104, Fresno, CA 93720-1562 | 2007-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821354200 | Omolade Maurice-diya | Pain Medicine | 1805 E Fir Ave Ste 104, Fresno, CA 93720-3859 | 2012-04-10 |
| 1316286982 | Amitabh U. Goswami, Do, Inc. | Pain Medicine | 7255 N Cedar Ave Ste 101, Fresno, CA 93720-3831 | 2013-02-02 |
| 1710256235 | Advanced Pain Associates of California | Pain Medicine | 6769 N Fresno St, Suite 206, Fresno, CA 93710-3715 | 2011-12-29 |
| 1730337205 | Spineintervention Medical Group | Pain Medicine | 6121 N Thesta St, Ste 106, Fresno, CA 93710-8603 | 2008-09-08 |
| 1437366622 | Robert G. Salazar, M.d., Inc. | Pain Medicine | 7152 N Sharon Ave, 102, Fresno, CA 93720-3361 | 2007-05-17 |
| 1710010228 | Berj T Kalamkarian, M.d., Inc. | Pain Medicine | 7152 N Sharon Ave, 102, Fresno, CA 93720-3361 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795836 | John Qian M.d. Inc. | Pain Medicine | 5360 Jackson Dr Ste 100, La Mesa, CA 91942-3012 | 2020-03-18 |
| 1831751403 | Abigail Howe | Pain Medicine | 2421 Park Blvd # B205, Palo Alto, CA 94306-1998 | 2019-07-03 |
| 1144781519 | Central Coast Functional Restoration Program Inc | Pain Medicine | 1260 41st Ave Ste D, Capitola, CA 95010-3929 | 2019-03-28 |
| 1497226419 | Birladeanu Medical Corp | Pain Medicine | 5255 Elkhorn Blvd Ste A, Sacramento, CA 95842-2506 | 2018-12-17 |
| 1033649413 | Latora Subani | Pain Medicine | 16179 Siskiyou Rd, Apple Valley, CA 92307-1314 | 2017-06-18 |
| 1982061354 | Hilary J Fausett, M.d. A Medical Corporation | Pain Medicine | 39 Congress St Ste 303, Pasadena, CA 91105-3022 | 2016-01-15 |
| 1346616695 | Nuvation Pain Group | Pain Medicine | 5832 Beach Blvd Unit 208, Buena Park, CA 90621-5501 | 2015-08-20 |
| 1740674050 | Guardian Headache and Pain Management Institute LLC | Pain Medicine | 3747 Franklin Ave, Suite 200, Long Beach, CA 90808-1334 | 2015-03-25 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1659772606 | Sonny Rubin, M.d. Inc | Pain Medicine | 455 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-4241 | 2014-09-09 |
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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.