NORTHWEST PHYSICIANS MEDICAL GROUP (NPI# 1013983113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013983113 |
| Entity Type | Organization |
| Organization Name | NORTHWEST PHYSICIANS MEDICAL GROUP |
| Practice Address |
4770 W Herndon Ave Fresno CA 93722-8401 |
| Practice Telephone | 5592716365 |
| Practice Fax Number | 5592716326 |
| Mailing Telephone | 5592716365 |
| Mailing Fax Number | 5592716326 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-12-20 |
| Authorized Official Name | MRS. LISA E JELINEK (ADMINISTRATOR) |
| Authorized Official Telephone | 5592716365 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0064290 | 05 | |
| CA | MEDICARE RR | CC6650 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | NORTHWEST PHYSICIANS MEDICAL GROUP, PLLC | 5920 100th St Sw, Lakewood, WA 98499-2751 |
| Street Address |
4770 W HERNDON AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93722-8401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447247820 | Miriam Levitt | Physician Assistant | 4770 W Herndon Ave, Fresno, CA 93722-8401 | 2005-09-30 |
| 1598127409 | Valley Children's Primary Care Group, Inc. | Pediatrics | 4770 W Herndon Ave, Suite 108, Fresno, CA 93722-8401 | 2016-03-22 |
| 1255741567 | Uzoma Chukwu | Internal Medicine | 4770 W Herndon Ave, Suite 107, Fresno, CA 93722-8401 | 2014-05-08 |
| 1134329501 | Shelly A Kruse | Internal Medicine | 4770 W Herndon Ave, Fresno, CA 93722-8401 | 2007-07-23 |
| 1790982759 | Kumari Subrahmanyam Iyer | Internal Medicine | 4770 W Herndon Ave, Suite 107, Fresno, CA 93722-8401 | 2007-07-02 |
| 1134323439 | Evelyn Luz Roldan | Nurse Practitioner | 4770 W Herndon Ave, Fresno, CA 93722-8402 | 2007-06-12 |
| 1013037993 | Mary A Gonzalez-howard | Pediatrics | 4770 W Herndon Ave, Suite 108, Fresno, CA 93722-8401 | 2007-04-02 |
| 1255408001 | Luis Raul Sosa | Family Medicine | 4770 W Herndon Ave, Fresno, CA 93722-8401 | 2006-11-29 |
| 1083788541 | Betsy Ann Hill | Registered Nurse | 4770 W Herndon Ave, Suite 108, Fresno, CA 93722-8401 | 2006-11-17 |
| 1962573063 | Kammi Yap Sayaseng | Registered Nurse | 4770 W Herndon Ave, Suite 108, Fresno, CA 93722-8401 | 2006-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
| 1205322047 | A Plus Home Health, Inc. | Home Health | 3455 W. Shaw Ave. # 107, Fresno (and Vicinity), CA 93722 | 2018-07-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| 1669981791 | Gabriela Miranda | Case Manager/Care Coordinator | 5467 N Carlsbad Ave, Fresno, CA 93722 | 2017-09-20 |
| 1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
| 1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
| 1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
| Find all providers in zip 93722 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770937393 | Lynn Barkley Burnett | Legal Medicine | 1336 N Wishon Ave, Fresno, CA 93728-2316 | 2016-04-20 |
| 1073705497 | Medmark Treatment Centers-fresno East, Inc. | Legal Medicine | 5510 E Kings Canyon Rd, Fresno, CA 93727-4526 | 2007-08-10 |
| 1710205349 | John Gregory Dallas | Legal Medicine | 7033 N Fresno St, Suite 201, Fresno, CA 93720-2976 | 2010-05-06 |
| 1194981894 | Valley Rehab Medical Group | Legal Medicine | 1805 E Fir Ave, Suite 102, Fresno, CA 93720-3859 | 2008-08-01 |
| 1992994248 | Tran-go Medical Corporation | Legal Medicine | 1053 R St, Fresno, CA 93721-1312 | 2007-10-22 |
| 1568676575 | Medmark Treatment Centers - Fresno West, Inc | Legal Medicine | 1310 M Street, Fresno, CA 93721-1808 | 2007-05-09 |
| 1932234275 | Jeffrey Michael Lundeen | Legal Medicine | 7033 N Fresno St, Suite 201, Fresno, CA 93720-2976 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831659945 | Christopher C Duong | Legal Medicine | 2114 Pullman Ln # B, Redondo Beach, CA 90278-4914 | 2019-03-24 |
| 1538694088 | Manohar Sukumar | Legal Medicine | 601 W Civic Center Dr, 601 Civic Center Drive West, Santa Ana, CA 92701-4002 | 2017-04-21 |
| 1316471402 | Comp Legal Medical Group | Legal Medicine | 71 Bryson Dr, Sutter Creek, CA 95685-4115 | 2017-04-14 |
| 1003358375 | Globilling Inc | Legal Medicine | 5230 Las Virgenes Rd Ste 210, Calabasas, CA 91302-3448 | 2016-11-17 |
| 1124560172 | Exam-docs Dba Forensic Med Group | Legal Medicine | 960 E Alosta Ave # 203, Azusa, CA 91702-2709 | 2016-11-08 |
| 1407218936 | Jose A Zepeda | Legal Medicine | 1266 Pepper Dr, El Centro, CA 92243-4302 | 2016-03-23 |
| 1912362443 | Paronian Medical Group, Inc. | Legal Medicine | 11631 Victory Blvd., Suite 105, North Hollywood, CA 91606 | 2015-12-29 |
| 1982077269 | Elite Surgical Clinic, Medical Corporation | Legal Medicine | 1510 S. Central Ave., Suite 100, Glendale, CA 91204-2582 | 2015-11-09 |
| 1669841995 | Injury Center Medical Group Inc | Legal Medicine | 432 E Redlands Blvd, Suite C, San Bernardino, CA 92408-3718 | 2015-09-16 |
| 1306243662 | Physicians First Choice, LLC | Legal Medicine | 6626 Norman Ln, San Diego, CA 92120-3949 | 2014-12-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.