Fady Boules, | |
2002 N Fine Ave Unit 101, Fresno, CA 93727-1511 | |
(951) 722-0801 | |
Not Available |
Full Name | Fady Boules |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 2002 N Fine Ave Unit 101, Fresno, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639541022 | NPI | - | NPPES |
D4304887 | Other | CA | DRIVER LIC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95003306 (California) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95003306 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Inland Psychiatric Medical Group Inc | 9436062312 | 95 |
Entity Name | Inland Psychiatric Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649217761 PECOS PAC ID: 9436062312 Enrollment ID: O20031106000736 |
Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711 |
Entity Name | Pinnacle Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376876912 PECOS PAC ID: 4880667609 Enrollment ID: O20040818001020 |
Entity Name | Mellow Medical Inc A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222 |
Mailing Address | Practice Location Address |
---|---|
Fady Boules, 18672 Florida St Ste 201c, Huntington Beach, CA 92648-6088 Ph: (951) 268-0745 | Fady Boules, 2002 N Fine Ave Unit 101, Fresno, CA 93727-1511 Ph: (951) 722-0801 |
Ms. Sheila Orallo Mallory, N. P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1867 E Fir Ave Ste 104, Fresno, CA 93720 Phone: 559-325-5876 Fax: 559-325-5838 | |
Gretchen Nelson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1105 E Spruce Ave Ste 203, Fresno, CA 93720 Phone: 559-450-7272 Fax: 559-450-7276 | |
Marlene Solomon Lim, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5755 E Kings Canyon Rd, Suite 104, Fresno, CA 93727 Phone: 559-255-7777 Fax: 559-454-1091 | |
Ms. Yolanda Mata, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 257 N Dewitt Ave, Fresno, CA 93727 Phone: 559-255-1373 | |
Tamara Carpenter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-499-6440 | |
Shalvi Shaili, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5860 E Byrd Ave, Fresno, CA 93727 Phone: 510-334-9295 | |
Natalie Betancur, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 645 S Minnewawa Ave, Fresno, CA 93727 Phone: 800-492-4227 |