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29323 Auberry Rd Prather CA 93651-9757 | |
| (559) 855-5390 | |
| (559) 299-0245 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 29323 Auberry Rd, Prather, California |
| Authorized Official Name and Position | Julie A Ramsey (COO) |
| Authorized Official Contact | 5592992578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2740 Herndon Ave Clovis CA 93611-6813 Ph: (559) 299-2578 | 29323 Auberry Rd Prather CA 93651-9757 Ph: (559) 855-5390 |
| NPI Number | 1902025059 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 08/12/2024 |
| Medicare PECOS PAC ID | 9931092533 |
|---|---|
| Medicare Enrollment ID | O20040206000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902025059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 040000392 (California) | Primary |
| Provider Name | Matthew James Easton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841397718 PECOS PAC ID: 1557344132 Enrollment ID: I20040612000753 |
| Provider Name | Winthrop B Hedrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437144367 PECOS PAC ID: 9638126147 Enrollment ID: I20050406001183 |
| Provider Name | Patrick J Stuart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104811330 PECOS PAC ID: 0244267714 Enrollment ID: I20050726001100 |
| Provider Name | Aaron C Kissel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477565356 PECOS PAC ID: 5597822007 Enrollment ID: I20090327000551 |
| Provider Name | Christopher W Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386864072 PECOS PAC ID: 9830248178 Enrollment ID: I20090518000060 |
| Provider Name | Meenakshi Dhingra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023231057 PECOS PAC ID: 0941344477 Enrollment ID: I20100222000098 |
| Provider Name | Lynette E Bassman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649201500 PECOS PAC ID: 2365635448 Enrollment ID: I20101021000411 |
| Provider Name | Gurmit S Deol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376854943 PECOS PAC ID: 9436348414 Enrollment ID: I20110106000126 |
| Provider Name | Shaikh Badarul Matin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962580852 PECOS PAC ID: 3779763099 Enrollment ID: I20110203000666 |
| Provider Name | Ross Nishijima |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255431896 PECOS PAC ID: 9739369091 Enrollment ID: I20120327000530 |
| Provider Name | Willie E Thigpen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093863052 PECOS PAC ID: 3173669157 Enrollment ID: I20120525000306 |
| Provider Name | Nooshin M Moalemi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700181450 PECOS PAC ID: 4880847532 Enrollment ID: I20130109000379 |
| Provider Name | Mary E Mclain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184916579 PECOS PAC ID: 9830405950 Enrollment ID: I20150903000566 |
| Provider Name | Derik Keshishian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699041426 PECOS PAC ID: 7315240280 Enrollment ID: I20160127000903 |
| Provider Name | Esther O Mcconville |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861851537 PECOS PAC ID: 9739488065 Enrollment ID: I20160509000365 |
| Provider Name | Gloria Sudeta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083070064 PECOS PAC ID: 7810285210 Enrollment ID: I20161130001840 |
| Provider Name | James Del Rosario Tinio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831365014 PECOS PAC ID: 2365512597 Enrollment ID: I20170807002673 |
| Provider Name | Muhammad Shoaib Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568881977 PECOS PAC ID: 0547563751 Enrollment ID: I20200612001150 |
| Provider Name | Gonzalo Urbano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366538340 PECOS PAC ID: 3072658236 Enrollment ID: I20210223003070 |
| Provider Name | Brandon K Shumway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992230437 PECOS PAC ID: 7113323106 Enrollment ID: I20210830002857 |
| Provider Name | Inderpreet G Feudale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871937219 PECOS PAC ID: 7517255631 Enrollment ID: I20210922002095 |
| Provider Name | Lenzy C Stephenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497134837 PECOS PAC ID: 2264735844 Enrollment ID: I20210927002652 |
| Provider Name | Marlon E Echaverry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992266654 PECOS PAC ID: 5193107894 Enrollment ID: I20220727002829 |
| Provider Name | David M Malekooti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003444324 PECOS PAC ID: 9032560222 Enrollment ID: I20240112000174 |
| Provider Name | Joanna M Crocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053177568 PECOS PAC ID: 2466891312 Enrollment ID: I20240411004211 |
| Provider Name | Samuel A Montano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164048609 PECOS PAC ID: 4183155427 Enrollment ID: I20240927000593 |
| Provider Name | Pritpal K Sidhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801254719 PECOS PAC ID: 7810242286 Enrollment ID: I20240930001319 |
| Provider Name | Mika Fisher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144092610 PECOS PAC ID: 3678004488 Enrollment ID: I20241003003769 |
| Provider Name | Maria Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770870743 PECOS PAC ID: 1951834258 Enrollment ID: I20241024003843 |