ANNE MICHELLE BOMAR (NPI# 1952552531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952552531 |
| Entity Type | Individual |
| Full Name | ANNE MICHELLE BOMAR |
| Practice Address |
2210 E Illinois Ave Suite 206 Fresno CA 93701-2125 |
| Practice Telephone | 5592642504 |
| Practice Fax Number | 5592643707 |
| Mailing Telephone | 5592642504 |
| Mailing Fax Number | 5592643707 |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2011-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
15765 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2210 E ILLINOIS AVE SUITE 206 |
| City | FRESNO |
| State | CA |
| Zip Code | 93701-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649270653 | Douglas Alan Helm | Obstetrics & Gynecology | 2210 E Illinois Ave, Suite 308, Fresno, CA 93701-2184 | 2005-08-01 |
| 1649610569 | Victoria Van Essen | Nurse Practitioner | 2210 E Illinois Ave, #406, Fresno, CA 93701-2125 | 2013-06-25 |
| 1598009961 | Dawnette Kopfman | Nurse Practitioner | 2210 E Illinois Ave, Ste #406, Fresno, CA 93701-2125 | 2012-11-24 |
| 1932482577 | Saeed Med Inc | Internal Medicine | 2210 E Illinois Ave, #505, Fresno, CA 93701-2125 | 2011-09-20 |
| 1316241847 | Diana Nguyen | Obstetrics & Gynecology | 2210 E Illinois Ave, Suite 406, Fresno, CA 93701-2125 | 2010-12-23 |
| 1780829119 | Christine Akemi Obata | Psychiatry & Neurology | 2210 E Illinois Ave, 401, Fresno, CA 93701-2125 | 2008-12-15 |
| 1265563241 | Sarkis B Baghdasarian | Internal Medicine | 2210 E Illinois Ave, Suite 508, Fresno, CA 93701-2125 | 2007-03-08 |
| 1932236056 | Carmen Rochelle Simpson | Physician Assistant | 2210 E Illinois Ave, Suite 406, Fresno, CA 93701-2125 | 2007-02-27 |
| 1649318023 | Chandra Kanth Katikireddy | Internal Medicine | 2210 E Illinois Ave, Suite 508, Fresno, CA 93701-2125 | 2007-02-01 |
| 1093852659 | Prem D. Singh, M.d. & Assoc | Pediatrics | 2210 E Illinois Ave, Suite 206, Fresno, CA 93701-2125 | 2007-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
| 1144849829 | Katelyn Nicole Van Leir | Student in an Organized Health Care Education/Training Program | Surabian Dental Care Center - Suite 2500, 290 N. Wayte Lane, Fresno, CA 93701 | 2020-04-13 |
| 1003445693 | Michelle Edwardson | Registered Nurse | 215 North Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-06 |
| 1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
| 1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
| 1275026585 | Yesenia Gonzalez | Nurse Practitioner | 311 Abby Street, Fresno, CA 93701 | 2018-06-11 |
| 1710474606 | Amanda Juarez | Dietitian, Registered | 215 N Fresno, Suite 370, Fresno, CA 93701 | 2018-04-17 |
| 1235650391 | Plastic Surgery Partners of Fresno Inc | Plastic Surgery | 215 N Fresno St, Ste 490, Fresno, CA 93701 | 2017-06-29 |
| 1205369790 | Amy Alagh | Student in an Organized Health Care Education/Training Program | 155 N Fresno Street, Fresno, CA 93701 | 2017-04-11 |
| 1922462159 | Henry Matthew Dunn | Student in an Organized Health Care Education/Training Program | Ucsf Fresno, 155 N. Fresno St., Department of Orthopaedic Surgery, Fresno, CA 93701 | 2016-04-13 |
| Find all providers in zip 93701 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770102295 | Roxanna Arely Caballero | Nurse Practitioner | 185 N Douglas Ave, Fresno, CA 93727-3637 | 2020-04-14 |
| 1871079509 | Erika Varney | Nurse Practitioner | 6769 N Willow Ave Ste 101, Fresno, CA 93710-5900 | 2018-07-16 |
| 1962861179 | Mary Jo Graves | Nurse Practitioner | 7011 N Howard St Ste 202, Fresno, CA 93720-2955 | 2016-02-16 |
| 1114324738 | Cheryl Martinez | Nurse Practitioner | 1301 M St, Fresno, CA 93721-1807 | 2014-11-25 |
| 1386847945 | Sharon Anne Templeton | Nurse Practitioner | 1180 E Shaw Ave Ste 101, Fresno, CA 93710-7809 | 2007-06-08 |
| 1962574814 | Gloria Ann Liu | Nurse Practitioner | 4785 N. First Street, Kaiser Permanente, Fresno, CA 93726 | 2006-11-15 |
| 1043793466 | Jennifer Nelson | Nurse Practitioner | 7720 N Fresno St, Fresno, CA 93720-2407 | 2018-09-11 |
| 1336626209 | Jennifer Lee Ruch | Nurse Practitioner | 7045 N Maple Ave Ste 108, Fresno, CA 93720-8008 | 2018-07-24 |
| 1851819742 | Minal Patel | Nurse Practitioner | 2210 E Illinois Ave Ste 206, Fresno, CA 93701-2184 | 2017-08-31 |
| 1437694155 | Arsia Moua | Nurse Practitioner | 290 N Wayte Ln # 1300, Fresno, CA 93701-2124 | 2017-01-04 |
| 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.