JEDIDIAH M MONSON (NPI# 1669455390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669455390 |
| Entity Type | Individual |
| Full Name | JEDIDIAH M MONSON |
| Credential | MD |
| Practice Address |
7130 N Millbrook Ave Fresno CA 93720-3347 |
| Mailing Address |
Po Box 25100 Fresno CA 93729-5100 |
| Practice Telephone | 5593261222 |
| Practice Fax Number | 5593261225 |
| Mailing Telephone | 5593261222 |
| Mailing Fax Number | 5593261230 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2020-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
G83275 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G832750 | 05 | |
| CA | CIGNA PROVIDER # | 1489286 | 01 |
| CA | BLUE SHIELD CA PROVIDER # | 00G832750 | 01 |
| CA | AETNA PROVIDER # | 5795635 | 01 |
| Street Address |
7130 N MILLBROOK AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-3347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778399 | Douglas S Wong | Specialist | 7130 N Millbrook Ave, Fresno, CA 93720-3347 | 2005-05-27 |
| 1902359425 | California Cancer Associates for Research and Excellence Inc | Internal Medicine | 7130 N Millbrook Ave, Fresno, CA 93720-3347 | 2016-08-02 |
| 1932576584 | Lauren Marie Ruskell | Nurse Practitioner | 7130 N Millbrook Ave, Fresno, CA 93720-3347 | 2015-08-31 |
| 1477802262 | Samuel P. Au, Md, Inc. | Radiology | 7130 N Millbrook Ave, Suite 112, Fresno, CA 93720-3347 | 2012-09-07 |
| 1326355660 | Michael H Lemus | Physician Assistant | 7130 N Millbrook Ave, Fresno, CA 93720-3347 | 2010-09-08 |
| 1992021562 | Radiation Oncology Associates of Fresno | Radiology | 7130 N Millbrook Ave, Ste.112, Fresno, CA 93720-3347 | 2010-04-08 |
| 1821320011 | Sukhjeet Singh Batth | Radiology | 7130 N Millbrook Ave, Fresno, CA 93720-3347 | 2010-02-12 |
| 1144343005 | Sachin Gupta | Internal Medicine | 7130 N Millbrook Ave, Suite 100, Fresno, CA 93720 | 2007-04-07 |
| 1992867147 | Robert H Lemon | Internal Medicine | 7130 N Millbrook Ave, Fresno, CA 93720-3347 | 2006-12-14 |
| 1538244314 | Joseph M Pascuzzo | Internal Medicine | 7130 N Millbrook Ave, Fresno, CA 93720-3347 | 2006-10-27 |
| Find all providers in the same location | ||||
| 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 | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104809946 | Raymond Charles Tan | Radiology | 7887 N Cedar Ave, Fresno, CA 93720-2685 | 2005-11-25 |
| 1477802262 | Samuel P. Au, Md, Inc. | Radiology | 7130 N Millbrook Ave, Suite 112, Fresno, CA 93720-3347 | 2012-09-07 |
| 1760776744 | Christine Ning Chang-halpenny | Radiology | 7130 N Millbrook Ave Ste 100, Fresno, CA 93720-3347 | 2011-06-07 |
| 1427377431 | Uma G Swamy | Radiology | 7257 N Fresno St, Fresno, CA 93720-2950 | 2010-06-01 |
| 1992021562 | Radiation Oncology Associates of Fresno | Radiology | 7130 N Millbrook Ave, Ste.112, Fresno, CA 93720-3347 | 2010-04-08 |
| 1821320011 | Sukhjeet Singh Batth | Radiology | 7130 N Millbrook Ave, Fresno, CA 93720-3347 | 2010-02-12 |
| 1659381549 | Cancer Therapy Medical Group Inc | Radiology | 7887 N Cedar Ave, Fresno, CA 93720-2685 | 2006-08-09 |
| 1316901663 | Giatri Dave | Radiology | 7887 N Cedar Ave, Fresno, CA 93720-2685 | 2006-04-13 |
| 1962464586 | Radiation Oncology Associates Medical Group, Inc. Dba. Oncology Care P | Radiology | 7257 N Fresno St, Fresno, CA 93720-2950 | 2006-04-06 |
| 1619946753 | Li Liu | Radiology | 7887 N Cedar Ave, Fresno, CA 93720-2685 | 2006-03-14 |
| 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.