JESSI GROSTEFON (NPI# 1962957928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962957928 |
| Entity Type | Individual |
| Full Name | JESSI GROSTEFON |
| Credential | PA-C |
| Practice Address |
1351 E Spruce Ave Fresno CA 93720-3342 |
| Practice Telephone | 5594323303 |
| Mailing Telephone | 5594323303 |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
53655 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
53655 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 125 Mall Dr, Suite #209, Hanford, CA 932305787 | 5595370700 | 5595370703 |
| Street Address |
1351 E SPRUCE AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-3342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710989561 | Ioana Schipor | Otolaryngology | 1351 E Spruce Ave, Central California Ear, Nose and Throat Medical Group, Fresno, CA 93720-3342 | 2005-08-11 |
| 1659838688 | Maelyn Danielle De Fede | Speech-Language Pathologist | 1351 E Spruce Ave, Fresno, CA 93720-3342 | 2019-02-26 |
| 1003382656 | Jodi Megumi Alatorre | Speech-Language Pathologist | 1351 E Spruce Ave, Fresno, CA 93720-3342 | 2018-10-22 |
| 1518456177 | Nicholas Ottley | Student in an Organized Health Care Education/Training Program | 1351 E Spruce Ave, Fresno, CA 93720-3342 | 2018-05-08 |
| 1740722529 | Sara Snell | Speech-Language Pathologist | 1351 E Spruce Ave, Fresno, CA 93720-3342 | 2016-11-10 |
| 1346642642 | Jaime Sutton | Audiologist | 1351 E Spruce Ave, Fresno, CA 93720-3342 | 2014-09-18 |
| 1851534002 | Ericka Lyn Olsen | Speech-Language Pathologist | 1351 E Spruce Ave, Fresno, CA 93720-3342 | 2009-04-16 |
| 1992945729 | David Robert Foushee | Speech-Language Pathologist | 1351 E Spruce Ave, Fresno, CA 93720-3342 | 2009-03-06 |
| 1184828238 | Jennifer N Davies | Otolaryngology | 1351 E Spruce Ave, Fresno, CA 93720 | 2007-06-13 |
| 1881801157 | George C Hsu | Otolaryngology | 1351 E Spruce Ave, Fresno, CA 93720 | 2007-05-17 |
| Find all providers in the same location | ||||
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881972164 | Pamela Oliver | Physician Assistant | 1187 E Herndon Ave Ste 106, Fresno, CA 93720-3166 | 2011-08-03 |
| 1750505061 | Bounmy - Pinyasone | Physician Assistant | 141 N. Clark Street, Suite A, Fresno, CA 93701-2124 | 2007-04-11 |
| 1134253180 | Joseph John Contreras | Physician Assistant | 6065 N 1st St, Suite 102, Fresno, CA 93710-5469 | 2007-03-14 |
| 1083653729 | Sheri Lynn Oswald | Physician Assistant | 1646 E Herndon Ave, Suite 106, Fresno, CA 93720-3380 | 2006-06-06 |
| 1447247820 | Miriam Levitt | Physician Assistant | 4770 W Herndon Ave, Fresno, CA 93722-8401 | 2005-09-30 |
| 1285257063 | Blake Phillip Dreihaus | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-27 |
| 1710509013 | Katherine Marie Pate | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-11 |
| 1982187100 | Theresa Ann Dwyer | Physician Assistant | 2335 E Kashian Ln Ste 240, Fresno, CA 93701-2211 | 2018-09-13 |
| 1639699853 | Gabrielle Melissa Powell | Physician Assistant | 2210 E Illinois Ave Ste 201, Fresno, CA 93701-2184 | 2017-06-20 |
| 1891220323 | Amy Maier | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2017-04-21 |
| 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.