Antonia B Gennock (NPI# 1255857678, PAC ID# 8325307358) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1255857678 |
| PAC ID by PECOS | 8325307358 |
| Professional Enrollment ID | I20180118002449 |
| Full Name | Antonia B Gennock |
| Organization Legal Name | DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA |
| Address |
2811 W California Ave Fresno CA 93706-2306 |
| Phone Number | 5594934221 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Group Practice PAC ID | 6507099520 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2811 W California Ave, Fresno, CA 93706-2306 | 5594934221 | DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA |
| Organization Legal Name | DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura B Brusett | Family Medicine | Department of Veterans Affairs of The State of California | 3400 Knighton Rd, Redding, CA 96002-9657 |
| Christine N Mativo | Registered Dietitian Or Nutrition Professional | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| Tikesha L Leslie-jones | Psychologist, Clinical | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| Catherine A Ludlow | Nurse Practitioner | Department of Veterans Affairs of The State of California | 3400 Knighton Rd, Redding, CA 96002-9657 |
| Tu Q Depry | Internal Medicine | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| Francisco Salcedo | Internal Medicine | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| James B Vogus | Hospice/palliative Care | Department of Veterans Affairs of The State of California | 3400 Knighton Rd, Redding, CA 96002-9657 |
| Oliver K Olaivar | Nurse Practitioner | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| Michael Ray Mongold | Psychologist, Clinical | Department of Veterans Affairs of The State of California | 3400 Knighton Rd, Redding, CA 96002-9657 |
| Howard A Morley | General Practice | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| Street Address |
2811 W CALIFORNIA AVE |
| City | FRESNO |
| State | CA |
| Zip | 93706-2306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine N Mativo | Registered Dietitian Or Nutrition Professional | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| Tikesha L Leslie-jones | Psychologist, Clinical | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| Tu Q Depry | Internal Medicine | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| Francisco Salcedo | Internal Medicine | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| Oliver K Olaivar | Nurse Practitioner | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| Howard A Morley | General Practice | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurene Spencer | Internal Medicine | Baart Community Healthcare | 1235 E St, Fresno, CA 93706-2024 |
| Farhad S Mahjouri | Neurosurgery | Baart Community Healthcare | 1235 E St, Fresno, CA 93706-2024 |
| Geeta Ramesh | Family Medicine | Clinica Sierra Vista | 302 Fresno St, Suite 101, Fresno, CA 93706-3641 |
| John R Logan | Internal Medicine | Clinica Sierra Vista | 302 Fresno St, Suite 101, Fresno, CA 93706-3641 |
| Freddie L Hayes | General Practice | 302 Fresno St, Fresno, CA 93706-3641 | |
| Carol A Devito | Physician Assistant | American Current Care of California, A Medical Corporation | 2555 S E Ave, Fresno, CA 93706-5104 |
| Auther E Adams | Obstetrics/gynecology | Clinica Sierra Vista | 2760 S Elm Ave, Fresno, CA 93706-5435 |
| Artin Massihi | Emergency Medicine | Clinica Sierra Vista | 2740 S Elm Ave, Fresno, CA 93706-5435 |
| Linda M Hudson | Physician Assistant | Clinica Sierra Vista | 2740 S Elm Ave, Fresno, CA 93706-5435 |
| Nidia C Payan | Family Practice | Clinica Sierra Vista | 2740 S Elm Ave, Fresno, CA 93706-5435 |
| Find all physicians in zip 93706 | |||
| City | FRESNO |
| Zip Code | 93706 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | FRESNO + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
Please comment or provide details below to improve the information on Antonia B Gennock.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.