MRS. DIANA MARIA RADAKOVIC


Address: 3133 N Millbrook Ave, Fresno, CA 93703-1425
Phone: 5592299040

MRS. DIANA MARIA RADAKOVIC (NPI# 1891877387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891877387
Entity Type Individual
Full Name MRS. DIANA MARIA RADAKOVIC
Credential NP
Practice Address 3133 N Millbrook Ave
Fresno
CA 93703-1425
Mailing Address 1849 Avenida Aprenda
Rancho Palos Verdes
CA 90275-1213
Practice Telephone 5592299040
Mailing Telephone 3109405205
Enumeration Date 2006-10-20
Last Update Date 2018-07-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
95003702 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
333 W Broadway, Suite 310, Long Beach, CA 908024437 3109405205
681 S Madera Ave Ste 107, Kerman, CA 936301748 5598424357

Office Location

Street Address 3133 N MILLBROOK AVE
City FRESNO
State CA
Zip Code 93703-1425

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063416873 Cecilia S. Salazar Nurse Practitioner 3133 N Millbrook Ave, Fresno, CA 93703-1425 2005-06-09
1518568161 Alejandro Alejandrez Cisneros Student in an Organized Health Care Education/Training Program 3133 N Millbrook Ave, Fresno, CA 93703-1425 2020-11-02
1922609486 Stephen John Georgiou Jr. Student in an Organized Health Care Education/Training Program 3133 N Millbrook Ave, Fresno, CA 93703-1425 2020-11-02
1306445994 Amitoj Singh Student in an Organized Health Care Education/Training Program 3133 N Millbrook Ave, Fresno, CA 93703-1425 2020-10-23
1023582137 Adam Garrett Balto Counselor 3133 N Millbrook Ave, Fresno, CA 93703-1425 2019-01-11
1184198244 Richard Luckhurst Licensed Vocational Nurse 3133 N Millbrook Ave, Fresno, CA 93703-1425 2019-01-11
1114498623 Addison Torossian Marriage & Family Therapist 3133 N Millbrook Ave, Fresno, CA 93703-1425 2018-12-09
1346711041 Mai Chang Counselor 3133 N Millbrook Ave, Fresno, CA 93703-1425 2018-12-07
1518433507 Erika Ochoa Counselor 3133 N Millbrook Ave, Fresno, CA 93703 2018-10-17
1942782404 Rachel Kigano Registered Nurse 3133 N Millbrook Ave, Fresno, CA 93703-1425 2018-08-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396395638 Angelica Gomez Behavior Technician 1535 N. Cedar Ave Apt 159, Fresno, CA 93703 2019-09-18
1326521659 Skylar Nunes Licensed Vocational Nurse 3133 N. Millbrook Ave, Fresno, CA 93703 2018-09-12
1700379377 Heather Rae Mann Counselor 3133 N Miibrook Ave, Fresno, CA 93703 2018-06-08
1891296422 Guardian Angel's Adult Day Healt Care, LLC Clinic/Center 4837 E. Mckinley Avenue, Fresno, CA 93703 2018-02-28
1275052987 Diana Christine Garnica Nurse Practitioner 4950 E Clinton Ave, Fresno, CA 93703 2017-09-13
1639609241 Ryan Ruhl Case Manager/Care Coordinator 3133 N Millbrook Ave., Fresno, CA 93703 2017-06-15
1972034221 Anna Garcia Counselor 1505 N Chestnut, Fresno, CA 93703 2017-03-27
1306227947 Innovations Counseling Services Health Maintenance Organization 2100 Wst. Winery Ave, 101, Fresno, CA 93703 2015-06-09
1639592553 Janelle K Raynor Counselor 1911 East Princeton Avenue, Fresno, CA 93703 2014-01-29
1104166297 Jessica Marie Flowers-guerrero Marriage & Family Therapist 3133 N. Millbrook Ave., Fresno, CA 93703 2013-02-26
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1871846691 Vandana Anilkumar Ganatra Nurse Practitioner 4441 E Kings Canyon Rd, Fresno County Department of Behavioral Health, Fresno, CA 93702-3604 2012-10-17
1598024697 Barbara L Woodward Nurse Practitioner 4411 E Kings Canyon Rd, Fresno, CA 93702 2012-05-09
1225016447 James Wong Nurse Practitioner 2615 E Clinton Ave, Fresno, CA 93703 2006-01-06
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Competitor

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City FRESNO
Zip Code 93703

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Dataset Information

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.

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