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).
| 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 |
| 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 |
| 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 |
| Street Address |
3133 N MILLBROOK AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93703-1425 |
| 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 | ||||
| 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 |
| Find all providers in zip 93703 | ||||
| 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 |
| 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 |
| 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.