WILLIAM HASTRUP JR. (NPI# 1255379558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255379558 |
Entity Type | Individual |
Full Name | WILLIAM HASTRUP JR. |
Credential | MD |
Practice Address |
5765 N Fresno St Suite 105 Fresno CA 93710-6092 |
Mailing Address |
Po Box 4437 Fresno CA 93744-4437 |
Practice Telephone | 5594327442 |
Practice Fax Number | 5594856994 |
Mailing Telephone | 5594858330 |
Mailing Fax Number | 5594856994 |
Enumeration Date | 2006-06-02 |
Last Update Date | 2009-09-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
G37267 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00G372670 | 05 |
Street Address |
5765 N FRESNO ST SUITE 105 |
City | FRESNO |
State | CA |
Zip Code | 93710-6092 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639117930 | James Clark Forsythe | Radiology | 5765 N Fresno St, Suite 105, Fresno, CA 93710-6092 | 2006-06-02 |
1255358909 | Women's Imaging Specialists In Healthcare | Clinic/Center | 5765 N Fresno St, Ste 105, Fresno, CA 93710-6092 | 2006-07-17 |
1114965340 | Edward J Mclaughlin | Radiology | 5765 N Fresno St, Suite 105, Fresno, CA 93710-6092 | 2006-06-02 |
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 | 2085P0229X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Pediatric Radiology |
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609190578 | Brian Stewart Pugmire | Radiology | 1504 N Wishon Ave, Fresno, CA 93728-1827 | 2010-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255702262 | Nicole Hughes | Radiology | 1975 4th St Rm C-1758l, San Francisco, CA 94158-2351 | 2015-10-16 |
1841633468 | Katherine Elizabeth Barton | Radiology | 4860 Y Street, Suite 3100, Sacramento, CA 95817-2309 | 2013-04-12 |
1427210160 | Juan C. Baez | Radiology | 11234 Anderson St Ste Mc-b623a, Loma Linda, CA 92354-2804 | 2008-06-25 |
1669657318 | University Childrens Medical Group | Radiology | 4650 W Sunset Blvd # 81, Los Angeles, CA 90027-6062 | 2007-12-31 |
1740489350 | Michael Frederick Fadell II | Radiology | 725 Welch Rd Rm 1890, Palo Alto, CA 94304-1601 | 2007-07-13 |
1649495029 | Alexander Anthony Cacciarelli | Radiology | 2198 Ladycliff Cir, Thousand Oaks, CA 91360-1978 | 2007-04-13 |
1376698548 | Aegis Pediatric Imaging Medical Group | Radiology | 116 W Lime Ave, Monrovia, CA 91016-2841 | 2007-01-25 |
1386738870 | Cornelia Kaminsky | Radiology | 6430 Sunset Blvd, Los Angeles, CA 90027-6062 | 2006-10-02 |
1467472621 | Lane Frances Donnelly | Radiology | 300 Pasteur Dr # H1307, Stanford, CA 94305-2200 | 2006-07-20 |
1497710214 | Charles A. Gooding | Radiology | 5050 Parnassus Ave, San Francisco, CA 94143-0001 | 2006-04-18 |
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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.