STEPHANIE ANN PATRICK-CALVILLO (NPI# 1942859798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942859798 |
| Entity Type | Individual |
| Full Name | STEPHANIE ANN PATRICK-CALVILLO |
| Credential | MSN, PMHNP-BC |
| Practice Address |
1525 E Greenwich Ave Apt 132 Fresno CA 93720-4342 |
| Practice Telephone | 5753188866 |
| Mailing Telephone | 5753188866 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2020-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 95107096 | CA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95014125 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5838 Edison Pl Ste 100, Carlsbad, CA 920085520 | 7603003664 |
| Street Address |
1525 E GREENWICH AVE APT 132 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-4342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| 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 |
| 1891877387 | Diana Maria Radakovic | Nurse Practitioner | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2006-10-20 |
| 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.