PALM MEDICAL GROUP, INC (NPI# 1225178809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225178809 |
| Entity Type | Organization |
| Organization Name | PALM MEDICAL GROUP, INC |
| Practice Address |
222 W Shaw Ave Fresno CA 93704-2644 |
| Practice Telephone | 5592229200 |
| Practice Fax Number | 5592229201 |
| Mailing Telephone | 5592229200 |
| Mailing Fax Number | 5592229201 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SU ROSENTHAL (MANAGER) |
| Authorized Official Telephone | 5592229200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
FNP22936 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FICTIOUS NAME PERMIT | FNP22936 | 01 |
| Street Address |
222 W SHAW AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93704-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093088973 | Francisco T Unguez | Preventive Medicine | 222 W Shaw Ave, Fresno, CA 93704-2644 | 2012-02-22 |
| 1578603148 | Igor Franjo Huljev | Chiropractor | 222 W Shaw Ave, Fresno, CA 93704-2644 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093090466 | Jennifer H Yun | Pharmacist | 5747 North Palm, Fresno, CA 93704 | 2011-10-18 |
| 1437395704 | Kenneth L. Hallstone | Marriage & Family Therapist | 4040 N. Wilson St., Fresno, CA 93704 | 2008-12-17 |
| 1811147796 | Kenneth S. Masumoto Dds Inc | Dentist | 430 W. Shaw, Fresno, CA 93704 | 2008-09-26 |
| 1578760526 | Wanda Kay Gordon Mcintosh | Social Worker | 5588 N Palm Ave # 10, Fresno, CA 93704 | 2007-07-02 |
| 1285839456 | Alison Elise Armstrong-conner | Psychologist | 6475 N. Palm Avenue, Suite 101, Fresno, CA 93704 | 2007-06-18 |
| 1952519498 | Henry Truong | Student in an Organized Health Care Education/Training Program | 615 E. Clinton Ave., Fresno, CA 93704 | 2007-05-18 |
| 1205042900 | Michelle Kathleen Gash | Clinic/Center | 5464 N Palm Ave # 101, Fresno, CA 93704 | 2007-05-16 |
| 1467674705 | Loyds Liberty Homes, Inc | Intermediate Care Facility, Mentally Retarded | 6520 North Colonial, Fresno, CA 93704 | 2007-05-03 |
| 1952522559 | Dawn Keisha Denise Aholu | Occupational Therapist | 5180 N. Palm, Suite 102, Fresno, CA 93704 | 2007-05-01 |
| 1235359191 | Yolanda Rodriguez Andreatta | Dental Hygienist | 310 W Shaw, Fresno, CA 93704 | 2007-04-25 |
| Find all providers in zip 93704 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003031022 | St Agnes Occupational Health Center | Clinic/Center | 1189 E Herndon Ave, Ste 103, Fresno, CA 93720-3167 | 2007-04-16 |
| 1902946544 | Charles J. Heller, Md. Inc. | Clinic/Center | 7033 N Fresno St, Suite 201, Fresno, CA 93720-2976 | 2007-02-06 |
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| 1013543693 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 3600 Juliette Ln # Sr9-01, Santa Clara, CA 95054-1540 | 2020-03-16 |
| 1386287878 | Starlight Therapy Center Inc | Clinic/Center | 1235 Indiana Ct Ste 107, Redlands, CA 92374-4540 | 2019-10-28 |
| 1356819924 | Unete Healthcare Associates LLC | Clinic/Center | 928 S Broadway Apt 813, Los Angeles, CA 90015-4578 | 2018-11-13 |
| 1669956710 | Sacramento Occupational Medical Center | Clinic/Center | 3840 Watt Ave., Number B, Sacramento, CA 95821-2640 | 2018-09-24 |
| 1487106217 | Imperial Valley Occupational Medicine | Clinic/Center | 1850 W Main St Ste E, El Centro, CA 92243-2106 | 2016-10-27 |
| 1306205570 | Blue Oak Medical Group | Clinic/Center | 4300 Long Beach Blvd Ste 170, Long Beach, CA 90807 | 2016-02-17 |
| 1225495203 | Blue Oak Medical Group | Clinic/Center | 10832 Laurel St Ste 102, Rancho Cucamonga, CA 91730 | 2016-01-22 |
| Find all providers with the same taxonomy | ||||
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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.