SHAW WALK-IN MEDICAL CENTER/URGENT CARE,INC. (NPI# 1174554836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174554836 |
| Entity Type | Organization |
| Organization Name | SHAW WALK-IN MEDICAL CENTER/URGENT CARE,INC. |
| Other Organization Name | NONE |
| Practice Address |
3440 W Shaw Ave Ste A Fresno CA 93711-3216 |
| Practice Telephone | 5592772273 |
| Practice Fax Number | 5592772320 |
| Mailing Telephone | 5592772273 |
| Mailing Fax Number | 5592772320 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | TUANTU DOAN VU (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5592772273 |
| Authorized Official Credential | PHYSICIAN ASSIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | ========= | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| none | Other Name - Individual/Organization |
| Street Address |
3440 W SHAW AVE STE A |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-3216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585629 | Rapid Compliance Services, Inc | Clinic/Center | 4339 N Golden State Blvd Ste 101, Fresno, CA 93722-3816 | 2020-07-07 |
| 1619591179 | Belonging, Love, Affinity, Community, Kinship Wellness & Prosperity Ce | Clinic/Center | 1133 S St, Fresno, CA 93721-1408 | 2020-06-01 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1184164873 | Todos Para La Salud | Clinic/Center | 4420 N First St #123, Fresno, CA 93726-2328 | 2017-03-01 |
| 1184049793 | Greater Fresno Health Organization | Clinic/Center | 4011 N Marks Ave, Fresno, CA 93722-4555 | 2014-02-19 |
| 1184048886 | Lalaine Tiu, Md Inc | Clinic/Center | 3069 Tulare St, Fresno, CA 93721-1434 | 2014-02-17 |
| 1225316573 | Amarpaul Singh Bhathal | Clinic/Center | 11338 N Blue Sage Ave, Fresno, CA 93730-8846 | 2011-08-03 |
| 1609190768 | Generational Changes, Inc. | Clinic/Center | 2409 Merced St, Fresno, CA 93721-1810 | 2010-03-18 |
| 1649505504 | Generational Changes, Inc. | Clinic/Center | 1313 P St Ste 200, Fresno, CA 93721-1827 | 2009-10-11 |
| 1437325685 | Dipti Kundaikar | Clinic/Center | 7300 North Fresno Street, Medical Staff Services, Sequoia 4, Fresno, CA 93270-2941 | 2008-05-07 |
| 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.