DR. OLASUNKANMI STEPHEN FAGBULE (NPI# 1699950063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699950063 |
| Entity Type | Individual |
| Full Name | DR. OLASUNKANMI STEPHEN FAGBULE |
| Credential | MD |
| Practice Address |
1180 E Shaw Ave Ste 101 Fresno CA 93710-7812 |
| Mailing Address |
3284 N Ivanhoe Ave Fresno CA 93722-0429 |
| Practice Telephone | 5592284222 |
| Practice Fax Number | 5592284299 |
| Mailing Telephone | 5592694898 |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2011-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A100735 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1180 E SHAW AVE STE 101 |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-7812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386847945 | Sharon Anne Templeton | Nurse Practitioner | 1180 E Shaw Ave Ste 101, Fresno, CA 93710-7809 | 2007-06-08 |
| 1750737953 | California Integrative Healthcare A Medical Corporation | Clinic/Center | 1180 E Shaw Ave Ste 101, Fresno, CA 93710-7812 | 2016-05-06 |
| 1609207281 | Ryan Ko | Internal Medicine | 1180 E Shaw Ave Ste 101, Fresno, CA 93710-7812 | 2013-12-06 |
| 1386914067 | Amtinder S Batth | Internal Medicine | 1180 E Shaw Ave Ste 101, Fresno, CA 93710-7812 | 2012-01-11 |
| 1902197569 | Fatemeh Bagheriannejad Esfahani | Internal Medicine | 1180 E Shaw Ave Ste 101, Fresno, CA 93710-7812 | 2011-04-29 |
| 1386824043 | Christina Hernandez | Internal Medicine | 1180 E Shaw Ave Ste 101, Fresno, CA 93710-7812 | 2007-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225872 | Prime Medicine Partners Inc | Internal Medicine | 7647 N Fresno St, Fresno, CA 93720-2578 | 2020-11-08 |
| 1861023715 | Central California Hospital Medicine Group Inc | Internal Medicine | 9635 N Matus Ave, Fresno, CA 93720-4630 | 2020-01-29 |
| 1013430982 | Family Wellness Clinic, Inc | Internal Medicine | 3152 N Millbrook Ave Ste C, Fresno, CA 93703-1459 | 2017-07-21 |
| 1639552755 | Rupinder Kaur Mann | Internal Medicine | 1303 E Herndon Ave # Ms 485, Fresno, CA 93720 | 2015-07-07 |
| 1205242153 | Susan Dominic, Md., Inc. | Internal Medicine | 7780 N Fresno St Ste 100, Fresno, CA 93720-2413 | 2014-07-10 |
| 1326462631 | El Capitan Wound & Diabetic Center Inc | Internal Medicine | 4747 N 1st St Ste 134, Fresno, CA 93726 | 2014-02-06 |
| 1932546934 | Best Wound and Diabetes Care Inc | Internal Medicine | 2205 N Fresno St, C, Fresno, CA 93703-2210 | 2013-05-30 |
| 1649525742 | Jeffery M Hubbard Md Inc | Internal Medicine | 7780 N Fresno St Ste 102, Fresno, CA 93720-2413 | 2012-07-16 |
| 1144537317 | Wajiha Irshad | Internal Medicine | 1303 E Herndon Ave;, St Agnes Medical Center., Fresno, CA 93720 | 2010-09-08 |
| 1497068100 | Isira Jayanath Aravinda Perera | Internal Medicine | 1830 E Shepherd Ave Apt 107, Fresno, CA 93720-5616 | 2010-07-22 |
| 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.