| |
155 N Fresno St Fresno CA 93701-2302 | |
(559) 499-6400 | |
(559) 499-6411 |
Full Name | |
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Speciality | Internal Medicine |
Location | 155 N Fresno St, Fresno, California |
Authorized Official Name and Position | Michael Peterson (ASSOCIATE DEAN) |
Authorized Official Contact | 5594996400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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155 N Fresno St Fresno CA 93701-2302 Ph: (559) 499-6400 | 155 N Fresno St Fresno CA 93701-2302 Ph: (559) 499-6400 |
NPI Number | 1659419638 |
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Provider Enumeration Date | 02/02/2007 |
Last Update Date | 08/25/2021 |
Medicare PECOS PAC ID | 7517859994 |
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Medicare Enrollment ID | O20040611000997 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659419638 | NPI | - | NPPES |
GR0091020 | Other | CA | MEDI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Michael W Peterson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437178985 PECOS PAC ID: 1254314982 Enrollment ID: I20040611001115 |
Provider Name | Abner P Korn |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1912934886 PECOS PAC ID: 3577647833 Enrollment ID: I20080225000739 |
Provider Name | Amy M Autry |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1851335624 PECOS PAC ID: 3274618772 Enrollment ID: I20080307000419 |
Provider Name | Loren Ingrid Alving |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1861423501 PECOS PAC ID: 3971652462 Enrollment ID: I20090512000237 |
Provider Name | Hoyle Leigh |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1750490678 PECOS PAC ID: 6507045291 Enrollment ID: I20110127000280 |
Provider Name | Alexander C Sherriffs |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154353050 PECOS PAC ID: 7113109356 Enrollment ID: I20110310000036 |
Provider Name | Stephanie Lina Gaw |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1467789792 PECOS PAC ID: 8729213327 Enrollment ID: I20131107001365 |
Provider Name | Beverly A Chang |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1063716009 PECOS PAC ID: 9830327774 Enrollment ID: I20140122001161 |
Provider Name | Liana Milanes |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184063240 PECOS PAC ID: 6800182957 Enrollment ID: I20160915002010 |
Provider Name | Almira Opardija |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1982901294 PECOS PAC ID: 4688968977 Enrollment ID: I20181012002629 |
Provider Name | Jason Gravano |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1548749500 PECOS PAC ID: 8628312097 Enrollment ID: I20181212001447 |
Provider Name | Joseph K Sanford |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1932561727 PECOS PAC ID: 5193076644 Enrollment ID: I20210729002548 |
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 | |
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 |