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1925 E Dakota Ave Fresno CA 93726-4821 | |
| (559) 600-9058 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1925 E Dakota Ave, Fresno, California |
| Authorized Official Name and Position | Susan L. Holt (DIRECTOR) |
| Authorized Official Contact | 5596009058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1925 E Dakota Ave Fresno CA 93726-4821 Ph: (559) 600-9058 | 1925 E Dakota Ave Fresno CA 93726-4821 Ph: (559) 600-9058 |
| NPI Number | 1770538001 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Medicare PECOS PAC ID | 4981591690 |
|---|---|
| Medicare Enrollment ID | O20040227000935 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770538001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Michael David Rabinoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174601678 PECOS PAC ID: 1850299082 Enrollment ID: I20031226000207 |
| Provider Name | Mary J Stoller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255485637 PECOS PAC ID: 0941101661 Enrollment ID: I20040115001150 |
| Provider Name | Samer Al Saghbini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881772457 PECOS PAC ID: 4385545490 Enrollment ID: I20040120000658 |
| Provider Name | Thomas J Rosko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457335200 PECOS PAC ID: 1850379462 Enrollment ID: I20040709001408 |
| Provider Name | Sujatha Ramakrishna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306908140 PECOS PAC ID: 1052383775 Enrollment ID: I20040811001329 |
| Provider Name | Adam J Jarczewski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417068735 PECOS PAC ID: 8729054564 Enrollment ID: I20040902001439 |
| Provider Name | Keykhosrow Rastegari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730388463 PECOS PAC ID: 4183685688 Enrollment ID: I20041019000613 |
| Provider Name | Asha Gaur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598760472 PECOS PAC ID: 1355309659 Enrollment ID: I20050103000325 |
| Provider Name | Doris T Tan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578522462 PECOS PAC ID: 8820045487 Enrollment ID: I20050405001341 |
| Provider Name | Marianne Tur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649275132 PECOS PAC ID: 8820035538 Enrollment ID: I20050414000314 |
| Provider Name | Richard Granese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437175189 PECOS PAC ID: 6002704384 Enrollment ID: I20050627001109 |
| Provider Name | Kenneth Dean Bird |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1124193388 PECOS PAC ID: 6305874538 Enrollment ID: I20050729000380 |
| Provider Name | Susan A Middleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518026418 PECOS PAC ID: 5991735177 Enrollment ID: I20050817000529 |
| Provider Name | James William Backlund |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295847515 PECOS PAC ID: 8921038142 Enrollment ID: I20050817000837 |
| Provider Name | Brian Steven Arkelian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770643546 PECOS PAC ID: 7315977436 Enrollment ID: I20050818000475 |
| Provider Name | Loren M Wiens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528112430 PECOS PAC ID: 7618907601 Enrollment ID: I20050818001135 |
| Provider Name | Rose M Ornelas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760535603 PECOS PAC ID: 0345270336 Enrollment ID: I20050818001140 |
| Provider Name | Cynthia L Hager |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992837421 PECOS PAC ID: 0244255347 Enrollment ID: I20051007000564 |
| Provider Name | Jacqueline Anne Cavallaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720174204 PECOS PAC ID: 6406872613 Enrollment ID: I20051018000176 |
| Provider Name | Michelle R Levalley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942305826 PECOS PAC ID: 4981621596 Enrollment ID: I20051101001142 |
| Provider Name | Cecilia Solis Salazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063416873 PECOS PAC ID: 8224044326 Enrollment ID: I20060227000760 |
| Provider Name | Deborah M Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255460077 PECOS PAC ID: 8628089521 Enrollment ID: I20060505000963 |
| Provider Name | Elisa M Lutzer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164467866 PECOS PAC ID: 3870698848 Enrollment ID: I20070419000456 |
| Provider Name | Felisa P Tacata |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427049162 PECOS PAC ID: 6800998055 Enrollment ID: I20070424000635 |
| Provider Name | John L Schaeffer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497743918 PECOS PAC ID: 6507964095 Enrollment ID: I20070606000781 |
| Provider Name | Isabel Sarinas Manuel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396892048 PECOS PAC ID: 9436249786 Enrollment ID: I20071226000428 |
| Provider Name | Colleen M Connor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184775926 PECOS PAC ID: 3476631318 Enrollment ID: I20080417000607 |
| Provider Name | Marina Marchak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386684124 PECOS PAC ID: 2961581715 Enrollment ID: I20080505000422 |
| Provider Name | Fortuna Israel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780771402 PECOS PAC ID: 0648338400 Enrollment ID: I20081022000618 |
| Provider Name | Carlos C Kellenberger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306061122 PECOS PAC ID: 0446248306 Enrollment ID: I20081128000004 |
| Provider Name | Mark Chofla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447338934 PECOS PAC ID: 1557427689 Enrollment ID: I20090225000527 |
| Provider Name | Marta B Obler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871671602 PECOS PAC ID: 2567512239 Enrollment ID: I20090618000423 |
| Provider Name | Aravinda R Kolan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891981619 PECOS PAC ID: 0547314833 Enrollment ID: I20090820000869 |
| Provider Name | Laila Akhbarati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376762088 PECOS PAC ID: 7618075557 Enrollment ID: I20091105000625 |
| Provider Name | Muhammad S Zia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497851844 PECOS PAC ID: 4183762198 Enrollment ID: I20091112000138 |
| Provider Name | Akindele E Kolade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922051846 PECOS PAC ID: 9335198183 Enrollment ID: I20091207000673 |
| Provider Name | Omar Farooqi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336311315 PECOS PAC ID: 2961696083 Enrollment ID: I20101103000302 |
| Provider Name | Fredda Louise Leiter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750405957 PECOS PAC ID: 4183813827 Enrollment ID: I20110111000366 |
| Provider Name | Muhammad A Rauf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255336137 PECOS PAC ID: 1355527441 Enrollment ID: I20110526000251 |
| Provider Name | Maria Szpyt Domanska |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629054168 PECOS PAC ID: 2062453103 Enrollment ID: I20110526000514 |
| Provider Name | Jabeen Hayat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750567384 PECOS PAC ID: 3072790716 Enrollment ID: I20110607000410 |
| Provider Name | Denys Arrieta Zorro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699901884 PECOS PAC ID: 5698812980 Enrollment ID: I20111013000286 |
| Provider Name | Michele Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942473442 PECOS PAC ID: 7012181183 Enrollment ID: I20111130000042 |
| Provider Name | Rafael R Teran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487939989 PECOS PAC ID: 6800050345 Enrollment ID: I20120612000552 |
| Provider Name | Simarjit S Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265699128 PECOS PAC ID: 1759530165 Enrollment ID: I20120928000354 |
| Provider Name | Christine Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669632451 PECOS PAC ID: 5193976389 Enrollment ID: I20121116000271 |
| Provider Name | Renee A Bacas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295952497 PECOS PAC ID: 1951578103 Enrollment ID: I20121206000466 |
| Provider Name | Michele L Webber-klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770660953 PECOS PAC ID: 8123288263 Enrollment ID: I20130906000676 |
| Provider Name | Beverly A Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063716009 PECOS PAC ID: 9830327774 Enrollment ID: I20140122001161 |
| Provider Name | Alaric D Frazier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629377254 PECOS PAC ID: 5496987646 Enrollment ID: I20140422001707 |
| Provider Name | Zaheer U Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134330368 PECOS PAC ID: 5991897514 Enrollment ID: I20140819000007 |
| Provider Name | Gregory W White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558406900 PECOS PAC ID: 5092030668 Enrollment ID: I20150203001265 |
| Provider Name | Karthik P Sethuram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174899348 PECOS PAC ID: 3678890837 Enrollment ID: I20150326002302 |
| Provider Name | Nisha S Ramsinghani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033485222 PECOS PAC ID: 6406173301 Enrollment ID: I20150401002123 |
| Provider Name | Narine Zilfugharyan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861664740 PECOS PAC ID: 4082935978 Enrollment ID: I20150603002718 |
| Provider Name | Pukan Phaoudom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790844512 PECOS PAC ID: 5799096160 Enrollment ID: I20150625002735 |
| Provider Name | Jasmine Kaur Atwal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568786374 PECOS PAC ID: 2365699683 Enrollment ID: I20150924000999 |
| Provider Name | Sean Rougeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558506865 PECOS PAC ID: 6406148543 Enrollment ID: I20160709000033 |
| Provider Name | Kesha Saucier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407254881 PECOS PAC ID: 2769774439 Enrollment ID: I20160718000541 |
| Provider Name | Saydra Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396179529 PECOS PAC ID: 3870880776 Enrollment ID: I20160920002959 |
| Provider Name | Taqialdeen Zamil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598154478 PECOS PAC ID: 8921389099 Enrollment ID: I20170103001574 |
| Provider Name | Lisa Tsang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861612251 PECOS PAC ID: 2668757592 Enrollment ID: I20170316000192 |
| Provider Name | Jothika N Manepalli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932124757 PECOS PAC ID: 5991833071 Enrollment ID: I20170316002622 |
| Provider Name | David Mazariegos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104169135 PECOS PAC ID: 7012292493 Enrollment ID: I20170327002166 |
| Provider Name | Sarah Teklia Ghebrendrias |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356755698 PECOS PAC ID: 0840575122 Enrollment ID: I20170329000801 |
| Provider Name | Melissa A Jethanandani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508974791 PECOS PAC ID: 0244271401 Enrollment ID: I20170405002232 |
| Provider Name | Christopher Chee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447480173 PECOS PAC ID: 9537325329 Enrollment ID: I20170405002471 |
| Provider Name | Theresa Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619129178 PECOS PAC ID: 0749566636 Enrollment ID: I20170406003220 |
| Provider Name | Jennifer Yu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033545447 PECOS PAC ID: 4880903863 Enrollment ID: I20170426002445 |
| Provider Name | Molly Mckeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457775769 PECOS PAC ID: 6901183185 Enrollment ID: I20170426002475 |
| Provider Name | Karndeep Samran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518371855 PECOS PAC ID: 2466739784 Enrollment ID: I20170628003250 |
| Provider Name | Ann Grace Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114336658 PECOS PAC ID: 1658593157 Enrollment ID: I20171108002485 |
| Provider Name | Patrick William Shea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629203104 PECOS PAC ID: 8426280868 Enrollment ID: I20180405002376 |
| Provider Name | Medard Sison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922507037 PECOS PAC ID: 8820352057 Enrollment ID: I20180515002925 |
| Provider Name | Arlen Shawn Kwong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396122990 PECOS PAC ID: 4688920879 Enrollment ID: I20180629002559 |
| Provider Name | Elsa Marie Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437424355 PECOS PAC ID: 7012253909 Enrollment ID: I20190114003260 |
| Provider Name | John T Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174528350 PECOS PAC ID: 9931199486 Enrollment ID: I20190425000322 |
| Provider Name | Hope Lo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881175891 PECOS PAC ID: 4981947694 Enrollment ID: I20190521002655 |
| Provider Name | Ann M. Torres |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437316189 PECOS PAC ID: 9638403017 Enrollment ID: I20190619002538 |
| Provider Name | Allen Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487018099 PECOS PAC ID: 7315292810 Enrollment ID: I20190702001806 |
| Provider Name | Alyssa Anne Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659761047 PECOS PAC ID: 0840525978 Enrollment ID: I20190711003066 |
| Provider Name | Nancy Claire Devine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437197050 PECOS PAC ID: 6901797034 Enrollment ID: I20190812003714 |
| Provider Name | Peter B Burns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891727533 PECOS PAC ID: 0648211300 Enrollment ID: I20190820002028 |
| Provider Name | Cynthia Chavira |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629348867 PECOS PAC ID: 7113256884 Enrollment ID: I20190905000294 |
| Provider Name | Johanna Marie Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124460332 PECOS PAC ID: 8729414180 Enrollment ID: I20200203000895 |
| Provider Name | Brandon Michael Liang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912403932 PECOS PAC ID: 0547682767 Enrollment ID: I20200617000431 |
| Provider Name | Cheronne Danette Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245205566 PECOS PAC ID: 9436587326 Enrollment ID: I20200825002789 |
| Provider Name | Louis Doan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255674982 PECOS PAC ID: 3274832258 Enrollment ID: I20210201002140 |
| Provider Name | Kwame Buabeng |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316387673 PECOS PAC ID: 8628486636 Enrollment ID: I20210412001894 |
| Provider Name | Christopher A Robles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598260291 PECOS PAC ID: 5395146971 Enrollment ID: I20210702001967 |
| Provider Name | Joshua Burgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841378247 PECOS PAC ID: 1355625112 Enrollment ID: I20210708001585 |
| Provider Name | Karen Park Lim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922298496 PECOS PAC ID: 0143511063 Enrollment ID: I20211118001859 |
| Provider Name | Regina Bahten |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568491280 PECOS PAC ID: 5890717284 Enrollment ID: I20220323000913 |
| Provider Name | Jean Butterfield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003841727 PECOS PAC ID: 9335183193 Enrollment ID: I20220407000639 |
| Provider Name | Benet R Press |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023194289 PECOS PAC ID: 4284885500 Enrollment ID: I20220425002326 |
| Provider Name | Robert Algaier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164496709 PECOS PAC ID: 8123012952 Enrollment ID: I20220520000621 |
| Provider Name | David Benavidez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447663182 PECOS PAC ID: 6507153939 Enrollment ID: I20220603002362 |
| Provider Name | Frederick Marshall Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295775211 PECOS PAC ID: 1951370303 Enrollment ID: I20220610002127 |
| Provider Name | Roman Christopher Mangahas Roque |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992333413 PECOS PAC ID: 3274912795 Enrollment ID: I20220614000239 |
| Provider Name | Arvinder Pal Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700117405 PECOS PAC ID: 5890819833 Enrollment ID: I20220727000858 |
| Provider Name | Gilbert Simas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497802383 PECOS PAC ID: 3274684071 Enrollment ID: I20220803003007 |
| Provider Name | Rachel Wangeci Kigano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942782404 PECOS PAC ID: 1355724477 Enrollment ID: I20220822002588 |
| Provider Name | Oscar Brian Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396382206 PECOS PAC ID: 0446626345 Enrollment ID: I20221018001757 |
| Provider Name | Laurine Kinza Vanlerberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295481877 PECOS PAC ID: 3476921131 Enrollment ID: I20221130001847 |
| Provider Name | Eric Martin Blumenfeld |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184251738 PECOS PAC ID: 2668842501 Enrollment ID: I20230110001982 |
| Provider Name | Anna-lisa B Stonehill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154350775 PECOS PAC ID: 5496126898 Enrollment ID: I20230123001401 |
| Provider Name | Regina Brown Carolina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588693188 PECOS PAC ID: 8628047750 Enrollment ID: I20230207002940 |
| Provider Name | Austin William Blum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235623521 PECOS PAC ID: 1557609484 Enrollment ID: I20230823000631 |
| Provider Name | Allison Julia Munn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376066555 PECOS PAC ID: 9638409261 Enrollment ID: I20230925002291 |
| Provider Name | Maria Luz Amezola |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124241419 PECOS PAC ID: 7214476258 Enrollment ID: I20240822001285 |
| Provider Name | Kristen Danielle Dollarhide |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447969118 PECOS PAC ID: 2062951932 Enrollment ID: I20240823002092 |
| Provider Name | Anita Marie Karsh |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861544694 PECOS PAC ID: 6002355799 Enrollment ID: I20240826003100 |
| Provider Name | Juan Hernandez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346648458 PECOS PAC ID: 1153860853 Enrollment ID: I20240826003838 |
| Provider Name | Yelena Semenova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447670260 PECOS PAC ID: 1557607983 Enrollment ID: I20240827004353 |
| Provider Name | Roverto Valdez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427487610 PECOS PAC ID: 9739628199 Enrollment ID: I20240829000412 |
| Provider Name | Patricia Lorena Coronel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063663136 PECOS PAC ID: 8224577689 Enrollment ID: I20240829000651 |
| Provider Name | Chun-hsiu Hsu |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134224314 PECOS PAC ID: 7911446307 Enrollment ID: I20240829001537 |
| Provider Name | Iesenia Gonzalez Meza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568827285 PECOS PAC ID: 7416496815 Enrollment ID: I20240829001762 |
| Provider Name | Paula Sue Marsh |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1720448269 PECOS PAC ID: 1850830266 Enrollment ID: I20240829002296 |
| Provider Name | Christie Nicole Barnett |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063868511 PECOS PAC ID: 2062951395 Enrollment ID: I20240829003380 |
| Provider Name | Mai Chang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346711041 PECOS PAC ID: 0143769406 Enrollment ID: I20240829004780 |
| Provider Name | Matin Rastgerd Langroodi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982850632 PECOS PAC ID: 0042759318 Enrollment ID: I20240830000306 |
| Provider Name | Maribel Rivera-mulero |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1144427931 PECOS PAC ID: 0547352924 Enrollment ID: I20240830000803 |
| Provider Name | Jeffery Carr Avery |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699862417 PECOS PAC ID: 4880133172 Enrollment ID: I20240830001126 |
| Provider Name | Yessica Acosta |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033380001 PECOS PAC ID: 7618416827 Enrollment ID: I20240830001994 |
| Provider Name | Lori L. James |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003109901 PECOS PAC ID: 5193264307 Enrollment ID: I20240830002368 |
| Provider Name | Maynong Lee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366859209 PECOS PAC ID: 0244779486 Enrollment ID: I20240830003657 |
| Provider Name | Diane Marie Dawson-sittre |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831342252 PECOS PAC ID: 1052850179 Enrollment ID: I20240903001964 |
| Provider Name | Grace Ann Mahoney |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871869669 PECOS PAC ID: 4880133958 Enrollment ID: I20240903003950 |
| Provider Name | Mark Christopher Stroup |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538699095 PECOS PAC ID: 8527507615 Enrollment ID: I20240904000002 |
| Provider Name | Erin Michelle Dubell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639525124 PECOS PAC ID: 0749720811 Enrollment ID: I20240904004021 |
| Provider Name | Michael Anthony Difalco |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588294987 PECOS PAC ID: 7618417791 Enrollment ID: I20240904004230 |
| Provider Name | Sandy Her |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093903411 PECOS PAC ID: 6901346931 Enrollment ID: I20240905001722 |
| Provider Name | Hillary Leroux |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1881017341 PECOS PAC ID: 7719427780 Enrollment ID: I20240905003405 |
| Provider Name | Guadalupe Taylor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225161755 PECOS PAC ID: 8729528591 Enrollment ID: I20240906002801 |
| Provider Name | Diane Birgit Prosser |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164731964 PECOS PAC ID: 7113467937 Enrollment ID: I20240908000090 |
| Provider Name | Magdalena Magdalena Avila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033461207 PECOS PAC ID: 2264972017 Enrollment ID: I20240909001258 |
| Provider Name | Pamela Ann Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902054711 PECOS PAC ID: 0749720357 Enrollment ID: I20240910003341 |
| Provider Name | Matilde G. Jones |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912158700 PECOS PAC ID: 3173063690 Enrollment ID: I20240911002923 |
| Provider Name | Alice Anthony Cochran |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740355585 PECOS PAC ID: 3678013844 Enrollment ID: I20240913003567 |
| Provider Name | Maria I Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801944715 PECOS PAC ID: 7113458811 Enrollment ID: I20241004003564 |
| Provider Name | Jeffery David Thomas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053824870 PECOS PAC ID: 7719418284 Enrollment ID: I20241008003016 |
| Provider Name | Sonata Poon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477010890 PECOS PAC ID: 8224371042 Enrollment ID: I20241010000350 |
| Provider Name | Rebekah Sarah Romero |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063943108 PECOS PAC ID: 1850823170 Enrollment ID: I20241011001250 |
| Provider Name | Deann Michelle Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013307818 PECOS PAC ID: 3476085606 Enrollment ID: I20241014001371 |
| Provider Name | Tara Lynn Duque |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649947284 PECOS PAC ID: 1951833037 Enrollment ID: I20241014003894 |
| Provider Name | Vanessa Rae Verduzco |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205102878 PECOS PAC ID: 8820521453 Enrollment ID: I20241104002130 |
| Provider Name | Cecilia Gomez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285851402 PECOS PAC ID: 4486188778 Enrollment ID: I20241108002255 |
| Provider Name | Annette Earline Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285374207 PECOS PAC ID: 3870027923 Enrollment ID: I20241112001256 |
| Provider Name | Pazong Vue |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346850252 PECOS PAC ID: 1254866080 Enrollment ID: I20241203000831 |
| Provider Name | Mai See Yang |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467975425 PECOS PAC ID: 2466988043 Enrollment ID: I20241205002928 |
Healing Hopes, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1960 N Gateway Blvd, Fresno, CA 93727 Phone: 559-266-5200 Fax: 559-266-5201 | |
Fresno New Creation Ministries Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5150 N 6th St Ste 132, Fresno, CA 93710 Phone: 559-227-1066 | |
Mcpeters Management & Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5066 N Fresno St Ste 103, Fresno, CA 93710 Phone: 559-228-9392 | |
The Reclaim Family Therapy Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 N Van Ness Blvd, Fresno, CA 93704 Phone: 559-549-3915 | |
Clark Family Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2721 Ventura St Ste 3, Fresno, CA 93721 Phone: 559-547-7945 | |
Fresno County California Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 851 Van Ness Ave, Fresno, CA 93721 Phone: 559-488-1318 |