WILLIAM HASTRUP JR.


Address: 5765 N Fresno St, Suite 105, Fresno, CA 93710-6092
Phone: 5594327442

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085P0229X Radiology
Specialization: Pediatric Radiology
G37267 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G372670 05

Office Location

Street Address 5765 N FRESNO ST
SUITE 105
City FRESNO
State CA
Zip Code 93710-6092

Providers in the same location

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

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NPI Name Taxonomy Address Enumeration
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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
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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
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Taxonomy Information

Taxonomy Code 2085P0229X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Pediatric Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609190578 Brian Stewart Pugmire Radiology 1504 N Wishon Ave, Fresno, CA 93728-1827 2010-03-22

Providers in the same taxonomy and state

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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Competitor

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City FRESNO
Zip Code 93710

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Dataset Information

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.

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