MODERN MOLECULAR IMAGING LLC (NPI# 1700418738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700418738 |
| Entity Type | Organization |
| Organization Name | MODERN MOLECULAR IMAGING LLC |
| Practice Address |
7210 N Milburn Ave Ste 106 Fresno CA 93722-8449 |
| Practice Telephone | 7028170375 |
| Mailing Telephone | 7028170375 |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |
| Authorized Official Name | JAMES BALLOW (OWNER) |
| Authorized Official Telephone | 7028170375 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians |
| Street Address |
7210 N MILBURN AVE STE 106 |
| City | FRESNO |
| State | CA |
| Zip Code | 93722-8449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
| 1205322047 | A Plus Home Health, Inc. | Home Health | 3455 W. Shaw Ave. # 107, Fresno (and Vicinity), CA 93722 | 2018-07-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| 1669981791 | Gabriela Miranda | Case Manager/Care Coordinator | 5467 N Carlsbad Ave, Fresno, CA 93722 | 2017-09-20 |
| 1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
| 1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
| 1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
| Find all providers in zip 93722 | ||||
| Taxonomy Code | 207UN0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Cardiology |
| A nuclear medicine physician who specializes in nuclear cardiology. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588918544 | Birdjandi Md.inc | Nuclear Medicine | 5313 Renaissance Ave, #2, San Diego, CA 92122-5634 | 2012-10-30 |
| 1720250103 | Ram Dandillaya, M.d., Inc. | Nuclear Medicine | 4201 Torrance Blvd Ste 790, Torrance, CA 90503 | 2008-03-26 |
| 1851318810 | Cardiac Imaging Associates A Medical Corporation | Nuclear Medicine | 8581 Santa Monica Blvd # 471, Los Angeles, CA 90069-4120 | 2006-07-16 |
| 1598780116 | Howard Charles Lewin | Nuclear Medicine | 11835 W Olympic Blvd Ste 1150, Los Angeles, CA 90064-5078 | 2006-07-13 |
| 1942256060 | Anu Chirala A Medical Corporation | Nuclear Medicine | 18511 Mission View Dr, Suite 120, Morgan Hill, CA 95037-2974 | 2006-05-26 |
| 1457314262 | Malcolm S Pond Md Inc & Chiayu Chen Md Ptr Cardiology Associates | Nuclear Medicine | 4500 Brockton Ave Ste 203, Riverside, CA 92501-4006 | 2006-04-11 |
| 1699751222 | Evelyn Manalili Musni | Nuclear Medicine | 1860 Mowry Ave Ste 200, Fremont, CA 94538-1730 | 2005-12-15 |
| 1811431182 | Cardiac Imaging Nuclear Associates, A Medical Corporation | Nuclear Medicine | 11835 W Olympic Blvd Ste 1150, Los Angeles, CA 90064-5078 | 2016-12-06 |
| 1801258843 | Karl Sun, M.d. Inc. | Nuclear Medicine | 5555 Reservoir Drive, Suite 112, San Diego, CA 92120 | 2016-03-28 |
| 1740422427 | Knight Md Incorporated | Nuclear Medicine | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2009-03-27 |
| 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.