DR. DENARD MANUEL FOBBS SR. (NPI# 1184769879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184769879 |
| Entity Type | Individual |
| Full Name | DR. DENARD MANUEL FOBBS SR. |
| Credential | M.D. |
| Practice Address |
5339 N Fresno St Ste 105e Fresno CA 93710-6851 |
| Mailing Address |
Po Box 26990 Fresno CA 93729-6990 |
| Practice Telephone | 5592257600 |
| Practice Fax Number | 5592252472 |
| Mailing Telephone | 5592257600 |
| Mailing Fax Number | 5592252472 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
C38922 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS LICENSE NUMBER | E8471 | 01 |
| CA | DEA REGISTRATION NUMBER | AF9274541 | 01 |
| CA | 2637617 | 05 | |
| CA | DRS' CO. MALPRACTICE INS. | 0056972 | 01 |
| CA | CALIF. LICENSE NUMBER | C38922 | 01 |
| Street Address |
5339 N FRESNO ST STE 105E |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-6851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053758607 | Elaine Winifred Morris | Obstetrics & Gynecology | 1752 W Calimyrna Ave Apt B, Fresno, CA 93711-1871 | 2013-05-22 |
| 1326132903 | Keith Ormon Kielmeyer | Obstetrics & Gynecology | 5536 E Lane Ave, Fresno, CA 93727-5336 | 2006-10-03 |
| 1396721197 | Omni Womens Health Medical Group Inc | Obstetrics & Gynecology | 3812 N 1st St, Fresno, CA 93726-4301 | 2005-12-22 |
| 1457352866 | Camilla Louise Marquez | Obstetrics & Gynecology | 2416 W Shaw Ave, Ste. 106, Fresno, CA 93711-3303 | 2005-08-09 |
| 1104827922 | Wade Alden Dickinson | Obstetrics & Gynecology | 3152 N Millbrook Ave, #suite B, Fresno, CA 93703-1459 | 2005-08-02 |
| 1437602919 | White Medical Group, Inc. | Obstetrics & Gynecology | 2152 E Cooper Avenue, Suite 111, Fresno, CA 93730-5404 | 2016-08-01 |
| 1912149691 | Julie Nicole | Obstetrics & Gynecology | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2009-03-27 |
| 1992899090 | Cynthia Ann Bergmann | Obstetrics & Gynecology | 6167 N Fresno St Ste 102, Fresno, CA 93710-8610 | 2006-10-03 |
| 1053425470 | The Center for Continence Care, Inc | Obstetrics & Gynecology | 2763 E Shaw Ave, Suite 102, Fresno, CA 93710-8220 | 2006-08-19 |
| 1548286511 | William Max Rich | Obstetrics & Gynecology | 6323 N Fresno St, Suite 105, Fresno, CA 93710-5282 | 2006-07-14 |
| 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.