MRS. DIANE W KECSKES (NPI# 1649208638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649208638 |
| Entity Type | Individual |
| Full Name | MRS. DIANE W KECSKES |
| Credential | M.D |
| Practice Address |
3796 N Fresno St Suite # 104 Fresno CA 93726-5500 |
| Mailing Address |
732 N Russell Ave Clovis CA 93611-0329 |
| Practice Telephone | 5592227339 |
| Practice Fax Number | 5592227129 |
| Mailing Telephone | 5593239893 |
| Mailing Fax Number | 5592992587 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0005X |
Psychiatry & Neurology Specialization: Neurodevelopmental Disabilities |
G074951 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G074951 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7120 N Marks Ave Ste 110, Fresno, CA 937110268 | 5593412394 | |
| 775 E Spruce Ave, Fresno, CA 937203016 | 5594315073 | |
| 1853 E Niles Ave, Fresno, CA 937202342 | 5593253892 | |
| 1415 W Barstow Ave, Fresno, CA 937113018 | 5594389344 | |
| 718 E Minarets Ave, Fresno, CA 937203010 | 5594471114 | |
| 1027 N Van Ness Ave, Fresno, CA 937283429 | 5592687613 | |
| 4291 N Millbrook Ave, Fresno, CA 937263438 | 5592247967 | |
| 1942 E Niles Ave, Fresno, CA 937202344 | 5593234957 | |
| 10120 Lanes Bridge Dr, Madera, CA 936368890 | 5594315532 | |
| 5610 W Donner Ave, Fresno, CA 937223721 | 5592712040 | 5592726431 |
| 1224 E Michigan Ave, Fresno, CA 937045731 | 5592273454 | 5594087181 |
| 1209 S Hughes Ave, Fresno, CA 937062321 | 5592338340 | 5594087181 |
| 2550 W Clinton Ave Bldg W, Fresno, CA 937054206 | 5592647521 | 5598000165 |
| 2610 W Shaw Ln Ste 105, Fresno, CA 937112775 | 5594371144 | 5594385004 |
| Street Address |
3796 N FRESNO ST SUITE # 104 |
| City | FRESNO |
| State | CA |
| Zip Code | 93726-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730514027 | Ky Advanced Surgical Center Inc | Clinic/Center | 3796 N Fresno St, 103, Fresno, CA 93726-5500 | 2013-09-05 |
| 1902824279 | Scott S Peters | Dentist | 3796 N Fresno St, 106, Fresno, CA 93726-5500 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528520814 | Tania Grijalva Miranda | Behavior Technician | 4910 E. Ashland Ave, Fresno, CA 93726 | 2019-04-04 |
| 1790249894 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 3751 E Shields Avenue, Fresno, CA 93726 | 2019-01-23 |
| 1013481100 | Jill A Perricone | Respiratory Therapist, Registered | 4785 N First St, Fresno, CA 93726 | 2019-01-11 |
| 1285108399 | Leann Lokelani Benton | Respiratory Therapist, Registered | 4785 N. First St, Fresno, CA 93726 | 2019-01-11 |
| 1548745912 | Alina Gonzalez | Counselor | 4440 N. First St., Fresno, CA 93726 | 2018-10-01 |
| 1336622067 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 3751 E Shields Ave, Fresno, CA 93726 | 2018-09-10 |
| 1730676206 | Joanne K Groves | Counselor | 3636 N. First Street, St. 123, Fresno, CA 93726 | 2018-04-19 |
| 1356865679 | Fresno Mental Psychological Health Services, P.C. | Clinic/Center | 4021 N Fresno Street, Ste. 101, Fresno, CA 93726 | 2017-07-28 |
| 1205358819 | Jetinder Singh Ghag | Counselor | 3636 N.first St # 135 and 154, Fresno, CA 93726 | 2017-07-14 |
| 1164897328 | Karam Um Dds Inc | Dentist | 4747 N. First St. #174, Fresno, CA 93726 | 2015-12-14 |
| Find all providers in zip 93726 | ||||
| Taxonomy Code | 2084P0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician or neurologist who specializes in the diagnosis and management of chronic conditions that affect the developing and mature nervous system such as cerebral palsy, mental retardation and chronic behavioral syndromes, or neurologic conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate for NDN was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Ongoing early discussions regarding proposal. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811155161 | Joshua Daniel Feder | Psychiatry & Neurology | 415 N Highway 101, Solana Beach, CA 92075-1172 | 2008-05-22 |
| 1700985413 | Lynne R. Mielke | Psychiatry & Neurology | 4463 Stoneridge Dr Ste A, Pleasanton, CA 94588-8402 | 2006-09-21 |
| 1760587141 | Mark Kaplan | Psychiatry & Neurology | 3575 Cahuenga Blvd W, 243, Los Angeles, CA 90068-1366 | 2006-09-13 |
| 1811949399 | Richard Joseph Chadwin | Psychiatry & Neurology | 690 Hudson Ct, Sonoma, CA 95476 | 2006-05-16 |
| 1619188315 | Ange J Lobue | Psychiatry & Neurology | 525 2nd St, Suite 300, Eureka, CA 95501-0437 | 2007-05-24 |
| 1932233996 | Sabira Saifuddin | Psychiatry & Neurology | 2660 Townsgate Rd, Suite 780, Westlake Village, CA 91361-2714 | 2007-03-14 |
| 1528100021 | Michael Sean Marcin | Psychiatry & Neurology | 401 Parnassus Ave, Box-0984 Hos, San Francisco, CA 94143-2211 | 2007-02-12 |
| 1093807000 | Victoria Lynn Dunckley | Psychiatry & Neurology | 909 Electric Ave, Ste 302b, Seal Beach, CA 90740-6336 | 2006-09-28 |
| 1881796811 | Regents of The University of California - Ucsd Medical Group | Psychiatry & Neurology | 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 | 2006-09-01 |
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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.