MS. VANDANA ANILKUMAR GANATRA (NPI# 1871846691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871846691 |
Entity Type | Individual |
Full Name | MS. VANDANA ANILKUMAR GANATRA |
Practice Address |
4441 E Kings Canyon Rd Fresno County Department of Behavioral Health Fresno CA 93702-3604 |
Mailing Address |
11155 El Camino Real Apt D Atascadero CA 93422-6005 |
Practice Telephone | 5596009096 |
Mailing Telephone | 4085071111 |
Enumeration Date | 2012-10-17 |
Last Update Date | 2012-10-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
21887 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4441 E KINGS CANYON RD FRESNO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH |
City | FRESNO |
State | CA |
Zip Code | 93702-3604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770538001 | County of Fresno | Clinic/Center | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2006-05-24 |
1912505215 | Darlene Garcia Alvarez | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-10-09 |
1134736606 | Abigail Coronado | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-09-28 |
1659983906 | Lauren Michelle Spade | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-08-18 |
1952912461 | Elesia Faye Evans | Registered Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-08-10 |
1457978553 | Fresno County Department of Behavioral Health | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-06 |
1194342477 | Kalisha Goodwin | Student in an Organized Health Care Education/Training Program | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-02 |
1285251512 | Adrienne Quesada Guzman | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-02 |
1942827241 | Christina Nouanesymanivanh Navarro I | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-02 |
1588281968 | Briana Elyse Pedro | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730644543 | Brandy Eugena Dickey | Licensed Vocational Nurse | 496 S. Barton St., Fresno, CA 93702 | 2019-02-06 |
1205308269 | Kelly Ramirez | Counselor | 496 S. Barton St, Fresno, CA 93702 | 2018-12-31 |
1518437995 | Kimberlin Ann Klein | Licensed Vocational Nurse | 4411 E Kings Canyon Rd #319, Fresno, CA 93702 | 2018-11-28 |
1932677317 | Simone Danielle Cato | Counselor | 496 S Barton St, Fresno, CA 93702 | 2018-11-05 |
1558879841 | Mekdes Elizabeth Yilma | Marriage & Family Therapist | 4144 E. Kings Canyon Rd., Fresno, CA 93702 | 2018-01-20 |
1831647874 | Rick Foster | Registered Nurse | 441 East Kings Canyon Ave, Fresno, CA 93702 | 2016-09-20 |
1770935140 | Diana L. Eaglin | Registered Nurse | 4409 E. Inyo St., Modular A, Fresno, CA 93702 | 2016-07-08 |
1700257243 | Elizabeth Lee | Registered Nurse | 4411 E.kings Canyon Rd, Fresno, CA 93702 | 2015-10-09 |
1548657299 | Brandi Lynn Rieux | Counselor | 496 S. Barton Ave, Fresno, CA 93702 | 2015-04-21 |
1891069548 | Tamara Taylor | Case Manager/Care Coordinator | 890 S. Tenth Street, Fresno, CA 93702 | 2012-02-28 |
Find all providers in zip 93702 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265826812 | Sean Peng | Nurse Practitioner | 1060 W Sierra Ave # 104, Fresno, CA 93711-2063 | 2015-03-22 |
1205867173 | John Thomas Bachman | Nurse Practitioner | 7131 N 11th St, Fresno, CA 93720-3375 | 2006-07-06 |
1871598623 | Susan Davin | Nurse Practitioner | 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904 | 2005-06-17 |
1063416873 | Cecilia S. Salazar | Nurse Practitioner | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2005-06-09 |
1528539681 | Andrew Douglas Monasterio | Nurse Practitioner | 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904 | 2018-12-16 |
1922507037 | Medard Sison | Nurse Practitioner | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2018-02-03 |
1639549447 | Emily Samuel | Nurse Practitioner | 2740 S Elm Ave, Fresno, CA 93706-5435 | 2015-10-06 |
1598024697 | Barbara L Woodward | Nurse Practitioner | 4411 E Kings Canyon Rd, Fresno, CA 93702 | 2012-05-09 |
1891877387 | Diana Maria Radakovic | Nurse Practitioner | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2006-10-20 |
1225016447 | James Wong | Nurse Practitioner | 2615 E Clinton Ave, Fresno, CA 93703 | 2006-01-06 |
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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.