MKG ENTERPRISES CORP. (NPI# 1972148435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972148435 |
| Entity Type | Organization |
| Organization Name | MKG ENTERPRISES CORP. |
| Practice Address |
4021 N Fresno St Ste 107 Fresno CA 93726-4030 |
| Mailing Address |
4974 N Fresno St Ste 627 Fresno CA 93726-0317 |
| Practice Telephone | 5594127248 |
| Practice Fax Number | 6097563766 |
| Mailing Telephone | 5594127248 |
| Mailing Fax Number | 6097563766 |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |
| Authorized Official Name | MR. MARSHAWN KEITH GOVAN (PRESIDENT) |
| Authorized Official Telephone | 5595884340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174200000X | Meals | Other Service Providers | ||
| N | 177F00000X | Lodging | Other Service Providers | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
| N | 332U00000X | Home Delivered Meals | Suppliers | ||
| N | 347E00000X | Transportation Broker | Transportation Services | ||
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
4021 N FRESNO ST STE 107 |
| City | FRESNO |
| State | CA |
| Zip Code | 93726-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528520814 | Tania Grijalva Miranda | Behavior Technician | 4910 E. Ashland Ave, Fresno, CA 93726 | 2019-04-04 |
| 1790249894 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 3751 E Shields Avenue, Fresno, CA 93726 | 2019-01-23 |
| 1013481100 | Jill A Perricone | Respiratory Therapist, Registered | 4785 N First St, Fresno, CA 93726 | 2019-01-11 |
| 1285108399 | Leann Lokelani Benton | Respiratory Therapist, Registered | 4785 N. First St, Fresno, CA 93726 | 2019-01-11 |
| 1548745912 | Alina Gonzalez | Counselor | 4440 N. First St., Fresno, CA 93726 | 2018-10-01 |
| 1336622067 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 3751 E Shields Ave, Fresno, CA 93726 | 2018-09-10 |
| 1730676206 | Joanne K Groves | Counselor | 3636 N. First Street, St. 123, Fresno, CA 93726 | 2018-04-19 |
| 1356865679 | Fresno Mental Psychological Health Services, P.C. | Clinic/Center | 4021 N Fresno Street, Ste. 101, Fresno, CA 93726 | 2017-07-28 |
| 1205358819 | Jetinder Singh Ghag | Counselor | 3636 N.first St # 135 and 154, Fresno, CA 93726 | 2017-07-14 |
| 1164897328 | Karam Um Dds Inc | Dentist | 4747 N. First St. #174, Fresno, CA 93726 | 2015-12-14 |
| Find all providers in zip 93726 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214878 | M&m Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 6084 E Inyo St, Fresno, CA 93727-6068 | 2020-10-29 |
| 1144848359 | Willis & Co. Transport, LLC | Non-emergency Medical Transport (VAN) | 3010 Feather Green Trl, Fresno, TX 77545-7159 | 2020-07-14 |
| 1629615042 | On Point Management Care | Non-emergency Medical Transport (VAN) | 4944 E Clinton Way Ste 102, Fresno, CA 93727-1527 | 2019-12-04 |
| 1609419258 | Community Med Trans, Inc | Non-emergency Medical Transport (VAN) | 4220 N College Ave Apt A, Fresno, CA 93704-3863 | 2019-10-25 |
| 1629639844 | Legger Thomas Thompson Jr. | Non-emergency Medical Transport (VAN) | 2965 N Maroa Ave, Fresno, CA 93704-5608 | 2019-06-27 |
| 1932765500 | Gurpal Singh | Non-emergency Medical Transport (VAN) | 5868 E Mono St, Fresno, CA 93727-5574 | 2019-05-19 |
| 1407410368 | Maralik Ani LLC | Non-emergency Medical Transport (VAN) | 5100 N 6th St Ste 157, Fresno, CA 93710-7506 | 2019-04-26 |
| 1063971133 | Jennifer Marty | Non-emergency Medical Transport (VAN) | 2553 N Whittier Ave, Fresno, CA 93727-1462 | 2019-03-18 |
| 1578027520 | Eagle Medical Transportation Inc | Non-emergency Medical Transport (VAN) | 4733 W Spruce Ave, Fresno, CA 93722-3576 | 2019-01-24 |
| 1790259364 | On Call Medical Transportation | Non-emergency Medical Transport (VAN) | 4721 W Jennifer Ave Ste 21, Fresno, CA 93722-6441 | 2019-01-17 |
| 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.