FAMILY HEALTH CENTRE MEDICAL GROUP (NPI# 1245280718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245280718 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTRE MEDICAL GROUP |
| Practice Address |
686 W Line St Bishop CA 93514-3315 |
| Practice Telephone | 7608724311 |
| Practice Fax Number | 7608724130 |
| Mailing Telephone | 7608724311 |
| Mailing Fax Number | 7608724130 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2011-04-28 |
| Authorized Official Name | MRS. VASUKI SUE SITTAMPALAM (OWNER) |
| Authorized Official Telephone | 7608724311 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | C371720 | CA | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | Y201575 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207R00000X | Internal Medicine | A93866 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 002086560 | 05 | |
| CA | OWCP | 183283900 | 01 |
| CA | ST OF WA DEPT LABOR INDUS | 0205422 | 01 |
| CA | RHM53941F | 05 | |
| CA | GR0021672 | 05 |
| Street Address |
686 W LINE ST |
| City | BISHOP |
| State | CA |
| Zip Code | 93514-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295193720 | Owens Valley Wellness | Psychologist | 686 W Line St, Bishop, CA 93514-3315 | 2016-01-28 |
| 1437384906 | Family Health Centre Medical Group Inc | Community Health Worker | 686 W Line St, Bishop, CA 93514-3315 | 2009-05-27 |
| 1649448481 | Deborah Joan Poirier | Nurse Practitioner | 686 W Line St, Bishop, CA 93514-3315 | 2008-02-14 |
| 1386719342 | Donna Sue Mcauley | Nurse Practitioner | 686 W Line St, Bishop, CA 93514-3315 | 2006-11-22 |
| 1477628907 | Leo M Pisculli | Psychiatry & Neurology | 686 W Line St, Bishop, CA 93514-3315 | 2006-11-21 |
| 1326131095 | Kim P. Frey | Social Worker | 686 W Line St, Bishop, CA 93514-3315 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385466 | Tamia Shoshone | Specialist/Technologist | 2823 Diaz Lane, Bishop, CA 93514 | 2020-10-30 |
| 1982242590 | Amy Tran | Pharmacist | 1190 N Bishop St, Bishop, CA 93514 | 2019-12-13 |
| 1083266654 | Teresa Michelle Poirier | Psychologist | 512 W. Line Street, Suite 101, Bishop, CA 93514 | 2019-07-12 |
| 1477021756 | Linda M Christensen | Social Worker | 686 W. Line St., Bishop, CA 93514 | 2018-11-05 |
| 1013491497 | Kathleen Lynn Chandler | Massage Therapist | 214 W Line Street, Suite J, Bishop, CA 93514 | 2018-09-20 |
| 1477055390 | Alex Ds Ellis | Marriage & Family Therapist | 129 East Line St, Bishop, CA 93514 | 2018-03-07 |
| 1205366184 | Carla Orieta | Social Worker | 162 J-grove St., Bishop, CA 93514 | 2017-06-14 |
| 1871905778 | Bahman Payman | Obstetrics & Gynecology | 1500 Bear Creek Dr., Bishop, CA 93514 | 2014-05-27 |
| 1093972697 | Emery Joseph Duncan Dds Apc | Dentist | 325 Grove St, Bishop, CA 93514 | 2008-05-21 |
| 1407034622 | Steven Neal White | Acupuncturist | 162 E Line St Ste A, Bishop, CA 93514 | 2008-02-11 |
| Find all providers in zip 93514 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245784917 | Susan Jeanne Robinson | Internal Medicine | 985 Ed Powers Rd, Bishop, CA 93514-3721 | 2016-08-10 |
| 1659719755 | Manish Pandya | Internal Medicine | 150 Pioneer Ln, Bishop, CA 93514-2556 | 2013-06-11 |
| 1770771230 | Asao Kamei, Md Inc | Internal Medicine | 152 Pioneer Ln, Suite C, Bishop, CA 93514-2563 | 2007-10-10 |
| 1629005749 | Nickoline M Hathaway | Internal Medicine | 152 Pioneer Ln, Suite C, Bishop, CA 93514-2563 | 2006-06-26 |
| 1881636181 | Asao Kamei | Internal Medicine | 152 Pioneer Ln, Suite C, Bishop, CA 93514-2563 | 2006-06-12 |
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|---|---|---|---|---|
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| 1538768064 | Express Carenow, Inc | Internal Medicine | 4100 Central Ave Ste 101, Riverside, CA 92506-2930 | 2020-10-26 |
| 1861091795 | Sequoia Radiation Oncology Servics, Inc | Internal Medicine | 4945 W Cypress Ave Ste A, Visalia, CA 93277-1592 | 2020-10-21 |
| 1639778673 | Deepak Mehta | Internal Medicine | C/o Medical Staff Office, Cmf, Vacaville, CA 95696 | 2020-10-21 |
| 1053919332 | Kingsley Clinic of California, PC | Internal Medicine | 275 E Hillcrest Dr Ste 160, Thousand Oaks, CA 91360-7772 | 2020-10-09 |
| 1144836826 | Dr. Stephanie Mcclellen, Md PC | Internal Medicine | 900 Hyde St Fl 4, San Francisco, CA 94109-4806 | 2020-09-18 |
| 1346856358 | Kahala Biosciences Inc | Internal Medicine | 3 Whatney Ste 200, Irvine, CA 92618-2826 | 2020-09-16 |
| 1063027050 | Vinay Panchal Md Inc | Internal Medicine | Colusa Medical Center, 199 E Webster St, Colusa, CA 95932-2954 | 2020-09-15 |
| 1962017269 | One Primary Care Inc. | Internal Medicine | 800 S Central Ave Ste 212, Glendale, CA 91204-4388 | 2020-09-14 |
| 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.