Grant Jiro Nakamura, MD | |
923 G St, Reedley, CA 93654-2626 | |
(559) 637-1050 | |
(559) 637-1476 |
Full Name | Grant Jiro Nakamura |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 923 G St, Reedley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053305334 | NPI | - | NPPES |
00G505520 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G50552 (California) | Primary |
Entity Name | Community Foundation Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811258510 PECOS PAC ID: 0345406294 Enrollment ID: O20120723000387 |
Mailing Address | Practice Location Address |
---|---|
Grant Jiro Nakamura, MD Po Box 28949, Fresno, CA 93729-8949 Ph: (559) 228-4200 | Grant Jiro Nakamura, MD 923 G St, Reedley, CA 93654-2626 Ph: (559) 637-1050 |
Sireesha Indupuru Reddy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 372 W Cypress Ave, Reedley, CA 93654 Phone: 559-391-3110 Fax: 559-391-3112 | |
Dr. Raymond J Pena, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 N Acacia Ave, Suite 101, Reedley, CA 93654 Phone: 559-638-8187 Fax: 559-638-3883 | |
Dr. Homayoun Sohrabi, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 372 W Cypress Ave, Reedley, CA 93654 Phone: 559-638-8155 | |
Jennifer Vradenburg-haworth, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 W Cypress Ave, Reedley, CA 93654 Phone: 559-391-3115 Fax: 559-391-3117 | |
Kaylin S Dilbeck, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1790 E Manning Ave, Reedley, CA 93654 Phone: 800-492-4227 | |
Ruben Mora-roman Jr., Family Medicine Medicare: Medicare Enrolled Practice Location: 372 W Cypress Ave, Reedley, CA 93654 Phone: 559-638-8155 |