ROBERT P. HANSEN, INC. (NPI# 1780868158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780868158 |
| Entity Type | Organization |
| Organization Name | ROBERT P. HANSEN, INC. |
| Other Organization Name | WILLOW URGENT CARE |
| Practice Address |
6721 N Willow Ave Ste 104 Fresno CA 93710-5950 |
| Mailing Address |
Po Box 2064 Prairieville LA 70769-2064 |
| Practice Telephone | 2253632193 |
| Practice Fax Number | 2253632276 |
| Mailing Telephone | 2253632193 |
| Mailing Fax Number | 2253632276 |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2008-10-30 |
| Authorized Official Name | DR. ROBERT P HANSEN (OWNER) |
| Authorized Official Telephone | 5592879588 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | G53037 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE GROUP PTAN | ZZZ07635Z | 01 |
| Other Name | Type Code |
|---|---|
| Willow Urgent Care | Doing Business As Name - Organization |
| Street Address |
6721 N WILLOW AVE STE 104 |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-5950 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952677155 | Sarah G Sifuentez | Emergency Medicine | 6148 N Delbert Ave, Fresno, CA 93722-2419 | 2012-04-02 |
| 1134420045 | Tetsuo Ted Shigyo | Emergency Medicine | 2763 W Wrenwood Ave, Fresno, CA 93711-2562 | 2010-11-09 |
| 1215174602 | Jason Christopher Tsukamaki | Emergency Medicine | 6355 N Rafael Ave, Fresno, CA 93711-0956 | 2009-01-07 |
| 1265626378 | Kanwar Partap Singh Gill | Emergency Medicine | 8408 N Ann Ave, Fresno, CA 93720-4987 | 2007-08-31 |
| 1366635484 | Oleh J Wolowodiuk | Emergency Medicine | 521 E Mariners Cir, Fresno, CA 93730-0848 | 2007-08-22 |
| 1508906405 | Badrinath Kulkarni | Emergency Medicine | 1570 E. Herndon Avenue, Fresno, CA 93720 | 2007-02-08 |
| 1447261144 | Jacob M. Khushigian | Emergency Medicine | 5431 E Lane Ave, Fresno, CA 93727 | 2006-08-10 |
| 1346275625 | Gene Wayne Kallsen | Emergency Medicine | 290 N Wayte Ln # 1800, Fresno, CA 93701-2124 | 2006-07-12 |
| 1295735538 | Michael David Cawdery | Emergency Medicine | 155 N Fresno St, Ucsf-fresno Dept of Emergency Medicine, Fresno, CA 93701-2302 | 2005-07-28 |
| 1821551342 | Fernando Jose Teixeira | Emergency Medicine | 2823 Fresno St, Fresno, CA 93721-1324 | 2019-04-11 |
| 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.