| Haven Medical Group Inc. | |
|
1332 W Herndon Ave Ste 101 Fresno CA 93711-7118 | |
| (682) 433-9287 | |
| Not Available |
| Full Name | Haven Medical Group Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1332 W Herndon Ave Ste 101, Fresno, California |
| Authorized Official Name and Position | Justice Otchere (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6824339287 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Medical Group Inc. 1332 W Herndon Ave Ste 101 Fresno CA 93711-7118 Ph: (682) 433-9287 | Haven Medical Group Inc. 1332 W Herndon Ave Ste 101 Fresno CA 93711-7118 Ph: (682) 433-9287 |
| NPI Number | 1437826211 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 08/27/2021 |
| Medicare PECOS PAC ID | 9234520925 |
|---|---|
| Medicare Enrollment ID | O20220107000998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437826211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| Provider Name | Justice Otchere |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073957932 PECOS PAC ID: 1456606045 Enrollment ID: I20180622001401 |
| Provider Name | Ogochukwu Chidozie Molokwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952398000 PECOS PAC ID: 8426463209 Enrollment ID: I20210209002866 |
| Provider Name | Darnell James Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780315291 PECOS PAC ID: 8325422868 Enrollment ID: I20220831003228 |
Sante' Foundation Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7370 N Palm Ave Ste 101, Fresno, CA 93711 Phone: 559-228-5400 | |
Sequoia Community Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Fresno St Ste 102, Fresno, CA 93706 Phone: 559-457-5700 Fax: 559-457-5790 | |
Fresno Healthcare Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3233 N Chestnut Ave Ste 102, Fresno, CA 93726 Phone: 559-456-1167 Fax: 559-456-1183 | |
Planned Parenthood Mar Monte, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6095 N 1st St, Fresno, CA 93710 Phone: 559-446-1515 Fax: 559-446-1273 | |
Valley Pediatric Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7130 N Sharon Ave Ste 101, Fresno, CA 93720 Phone: 559-436-8606 Fax: 559-436-8654 | |
Dizon Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7035 N Maple Ave Ste 102b, Fresno, CA 93720 Phone: 559-299-2997 | |
United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2630 Tuolumne St, Fresno, CA 93721 Phone: 800-492-4227 Fax: 559-646-6614 |