FRESNO PEDIATRICS, A MEDICAL CORPORATION (NPI# 1336322437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336322437 |
| Entity Type | Organization |
| Organization Name | FRESNO PEDIATRICS, A MEDICAL CORPORATION |
| Other Organization Name | FRESNO PEDIATRICS AMC |
| Practice Address |
2900 Fresno St Suite 102 Fresno CA 93721-1439 |
| Practice Telephone | 5592292900 |
| Practice Fax Number | 5592682929 |
| Mailing Telephone | 5592292900 |
| Mailing Fax Number | 5592682929 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2013-06-27 |
| Authorized Official Name | MR. FRANK EPHRAIM LOPEZ (PRESIDENT) |
| Authorized Official Telephone | 5592292900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
G76384 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0100331 | 05 | |
| CA | LIC | G76384 | 01 |
| Other Name | Type Code |
|---|---|
| FRESNO PEDIATRICS AMC | Doing Business As Name - Organization |
| Street Address |
2900 FRESNO ST SUITE 102 |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-1439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699702795 | Frank Ephraim Lopez | Pediatrics | 2900 Fresno St, Suite 102, Fresno, CA 93721-1439 | 2006-06-26 |
| 1871986265 | Primary Healthcare Plus Medical Group Inc | Dermatology | 2900 Fresno St, Suite 106, Fresno, CA 93721-1439 | 2015-03-10 |
| 1386919645 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2900 Fresno St, Ste 108, Fresno, CA 93721-1439 | 2012-03-19 |
| 1386831360 | Jon Paul Ray | Specialist | 2900 Fresno St, Ste108, Fresno, CA 93721-1439 | 2007-10-03 |
| 1164635363 | Cynthia Garcia Mayhay-lopez | General Practice | 2900 Fresno St, 106, Fresno, CA 93721-1439 | 2007-05-07 |
| 1932289147 | Jamie Howell Fisher | Genetic Counselor, MS | 2900 Fresno St, Suite 101, Fresno, CA 93721-1439 | 2006-10-16 |
| 1043328115 | Suzanne B. Cassidy | Medical Genetics | 2900 Fresno St, Suite 101, Fresno, CA 93721-1439 | 2006-08-28 |
| 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 | 2080P0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Allergy/Immunology |
| A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437256211 | Grace Wee Lim | Pediatrics | 5088 N Fresno St, Fresno, CA 93710-7611 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285103440 | Alan Philip Burckin | Pediatrics | 1882 3rd Ave, Walnut Creek, CA 94597-2545 | 2018-11-17 |
| 1003278086 | Neema Izadi | Pediatrics | 4650 W Sunset Blvd # 75, Los Angeles, CA 90027-6062 | 2016-03-28 |
| 1033300769 | Batavia Woods - Allergy | Pediatrics | 725 W. Laveta, Suite 100, Orange, CA 92868-3835 | 2007-08-07 |
| 1427193457 | Lyne Goodlett Scott | Pediatrics | 1801 Marengo St Rm 1g1, Los Angeles, CA 90033-1365 | 2007-02-20 |
| 1083721351 | Sean Austin Mcghee | Pediatrics | 269 Campus Dr Rm 2115, Ccsr Building, Stanford, CA 94305-5101 | 2006-08-24 |
| 1669880787 | Adventist Health Physicians Network | Pediatrics | 1700 E Cesar E Chavez Ave, #3000, Los Angeles, CA 90033-2424 | 2014-08-01 |
| 1316269038 | Anthony Terry Hirsch | Pediatrics | 1202 Maricopa Hwy, Ste A, Ojai, CA 93023-3169 | 2010-02-22 |
| 1639365208 | Dr Maria Elena Rodriguez Inc A Medical Corporation | Pediatrics | 2417 Whittier Blvd, Los Angeles, CA 90023-1355 | 2007-09-18 |
| 1588850309 | Victoria Ritsa Dimitriades | Pediatrics | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2007-09-16 |
| 1043402332 | Caroline Yi-shoo Kuo | Pediatrics | 10833 Le Conte Ave, Los Angeles, CA 90095-2004 | 2007-08-10 |
| Find all providers with the same taxonomy | ||||
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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.