SIERRA PACIFIC ORTHOPAEDIC CENTER (NPI# 1134583578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134583578 |
| Entity Type | Organization |
| Organization Name | SIERRA PACIFIC ORTHOPAEDIC CENTER |
| Practice Address |
1630 E Herndon Ave Fresno CA 93720-3391 |
| Practice Telephone | 5592565200 |
| Mailing Telephone | 5592565200 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |
| Authorized Official Name | LYNDSI HANSON (HR SPECIALIST) |
| Authorized Official Telephone | 5592565367 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT291124 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1630 E HERNDON AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-3391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063403442 | Jerome R Dunklin | Orthopaedic Surgery | 1630 E Herndon Ave, Fresno, CA 93720-3305 | 2005-11-03 |
| 1932754488 | Alyssa Matoba | Physical Therapy Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2019-08-01 |
| 1518477348 | David A Kunz | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2017-10-06 |
| 1437699873 | Jennifer R Steger | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2017-03-05 |
| 1952841983 | Jennifer Maynez | Physical Therapist | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2017-02-23 |
| 1083062475 | Beau Kalmes | Family Medicine | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2016-05-26 |
| 1477907699 | Shari Matsuura | Physical Therapist | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2016-04-14 |
| 1679954747 | Samantha Payseno | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2015-06-15 |
| 1053714089 | Jennifer Ann Brough Wilson | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2014-10-05 |
| 1427450477 | Stephanie Lynn Hartman | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2014-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063912954 | Justin Hupp | Physical Therapist | 7525 N Cedar Ave, Fresno, CA 93720-2614 | 2018-02-16 |
| 1902148034 | Michael Gambero | Physical Therapist | 6049 N. First St., Fresno, CA 93710 | 2013-03-27 |
| 1982965489 | Thompson Physical Therapy Inc. | Physical Therapist | 6222 N 1st St Ste 104, Fresno, CA 93710-5448 | 2012-06-01 |
| 1770857708 | Vimy Sundrani | Physical Therapist | 7265 North First St Site 103, Fresno, CA 93720 | 2012-03-08 |
| 1467421552 | David Crume | Physical Therapist | 1903 E Fir, Suite 102, Fresno, CA 93720 | 2006-03-14 |
| 1154899086 | Nicholas Cameron Ward | Physical Therapist | 8525 N Cedar Ave Ste 109, Fresno, CA 93720-4833 | 2018-11-08 |
| 1003384934 | Theodore Ronald Oliver | Physical Therapist | 8525 N Cedar Ave Ste 109, Fresno, CA 93720-4833 | 2018-11-08 |
| 1821598749 | Kyle Baxter | Physical Therapist | 7525 N Cedar Ave Ste 101, Fresno, CA 93720-2689 | 2018-02-16 |
| 1205291705 | Nicholas Costas Proen | Physical Therapist | 1700 E Bullard Ave, Suite #102, Fresno, CA 93710-5866 | 2015-12-28 |
| 1831430016 | Glenn Miracle | Physical Therapist | 1903 E Fir Ave, Ste. 102, Fresno, CA 93720-3862 | 2013-03-12 |
| Find all providers in FRESNO | ||||
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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.