TRI COUNTY FAMILY MEDICAL CLINIC (NPI# 1386796423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386796423 |
| Entity Type | Organization |
| Organization Name | TRI COUNTY FAMILY MEDICAL CLINIC |
| Practice Address |
2400 Sierra Street Kingsburg CA 93631 |
| Practice Telephone | 5598972963 |
| Practice Fax Number | 5598971194 |
| Mailing Telephone | 5598972963 |
| Mailing Fax Number | 5598971194 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2013-04-18 |
| Authorized Official Name | BRUCE A TREVINO (PRESIDENT) |
| Authorized Official Telephone | 5598972963 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0025690 | 05 |
| Street Address |
2400 SIERRA STREET |
| City | KINGSBURG |
| State | CA |
| Zip Code | 93631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447303268 | Gregory A Dunford | Family Medicine | 2400 Sierra Street, Kingsburg, CA 93631 | 2007-01-18 |
| 1154474971 | Bruce A Trevino | Family Medicine | 2400 Sierra Street, Kingsburg, CA 93631 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336799790 | Eric Lane Silvius | Technician | 2340 18th Avenue, Kingsburg, CA 93631 | 2019-09-18 |
| 1356855647 | Henry Pereschica | Interpreter | 221 Mariposa St, Kingsburg, CA 93631 | 2017-11-22 |
| 1558665877 | Robert B Stillwagon | Physical Therapist | 392 Sierra St, Kingsburg, CA 93631 | 2010-12-29 |
| 1104074400 | Kingsburg Family Dental | Dentist | 1064 Lewis St, Kingsburg, CA 93631 | 2008-08-29 |
| 1790792356 | Model Drug Inc | Pharmacy | 1506 Draper St, Kingsburg, CA 93631 | 2006-08-03 |
| 1699760090 | Shaunna Shortes | Family Medicine | Po Box 472, Kingsburg, CA 93631-0472 | 2005-09-13 |
| 1386830214 | Kingsburg Joint Union Elementary | Local Education Agency (LEA) | 1310 Stroud Ave, Kingsburg, CA 93631-1000 | 2007-09-25 |
| 1700833977 | Sunbridge Care Enterprises West LLC | Skilled Nursing Facility | 1101 Stroud Ave, Kingsburg, CA 93631-1016 | 2006-05-31 |
| 1457992711 | Jennifer Elizabeth Fox | Speech-Language Pathologist | 1101 Stroud Ave, Kingsburg, CA 93631-1016 | 2019-10-07 |
| 1518495852 | Alexandria L Alves | Speech-Language Pathologist | 1101 Stroud Ave, Kingsburg, CA 93631-1016 | 2017-05-31 |
| Find all providers in zip 93631 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366005340 | Laura Elaine Mulligan | Family Medicine | 2052 Avenue 396, Kingsburg, CA 93631-9125 | 2019-04-16 |
| 1477618650 | Josephine M Perez | Family Medicine | 2400 Sierra St, Kingsburg, CA 93631-1458 | 2006-12-27 |
| 1699760090 | Shaunna Shortes | Family Medicine | Po Box 472, Kingsburg, CA 93631-0472 | 2005-09-13 |
| 1447303268 | Gregory A Dunford | Family Medicine | 2400 Sierra Street, Kingsburg, CA 93631 | 2007-01-18 |
| 1154474971 | Bruce A Trevino | Family Medicine | 2400 Sierra Street, Kingsburg, CA 93631 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407711 | Prohealth Partners A Medical Group | Family Medicine | 3700 Katella Ave Ste D, Los Alamitos, CA 90720-6410 | 2020-11-06 |
| 1831790112 | Universal Healthcare Services, Inc. | Family Medicine | 6025 Niles St, Bakersfield, CA 93306-4696 | 2020-11-04 |
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1417558842 | San Judas Tadeo Medical Group, Inc. | Family Medicine | 1000 S La Brea Ave Ste 2, Inglewood, CA 90301-3869 | 2020-11-03 |
| 1174123038 | Socal Medical Center., Inc. | Family Medicine | 1350 E Los Angeles Ave Ste 204, Simi Valley, CA 93065-2860 | 2020-10-29 |
| 1205435864 | Montana Affinity LLC | Family Medicine | 820 N Mountain Ave Ste 103, Upland, CA 91786-4163 | 2020-10-23 |
| 1861091126 | Silvia Diego Md Inc A Professional Medical Corp | Family Medicine | 1317 Oakdale Rd Ste 100, Modesto, CA 95355-3362 | 2020-10-19 |
| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
| 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.