DR. NAGABHUSHANA SIDDAPPA MALAKKLA (NPI# 1326149006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326149006 |
| Entity Type | Individual |
| Full Name | DR. NAGABHUSHANA SIDDAPPA MALAKKLA |
| Credential | MD |
| Practice Address |
2615 East Clinton Ave Fresno CA 93703 |
| Mailing Address |
2707, E Omaha Fresno CA 97720 |
| Practice Telephone | 5592256100 |
| Practice Fax Number | 5592285377 |
| Mailing Telephone | 5590325815 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
C50513 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2615 EAST CLINTON AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396395638 | Angelica Gomez | Behavior Technician | 1535 N. Cedar Ave Apt 159, Fresno, CA 93703 | 2019-09-18 |
| 1326521659 | Skylar Nunes | Licensed Vocational Nurse | 3133 N. Millbrook Ave, Fresno, CA 93703 | 2018-09-12 |
| 1700379377 | Heather Rae Mann | Counselor | 3133 N Miibrook Ave, Fresno, CA 93703 | 2018-06-08 |
| 1891296422 | Guardian Angel's Adult Day Healt Care, LLC | Clinic/Center | 4837 E. Mckinley Avenue, Fresno, CA 93703 | 2018-02-28 |
| 1275052987 | Diana Christine Garnica | Nurse Practitioner | 4950 E Clinton Ave, Fresno, CA 93703 | 2017-09-13 |
| 1639609241 | Ryan Ruhl | Case Manager/Care Coordinator | 3133 N Millbrook Ave., Fresno, CA 93703 | 2017-06-15 |
| 1972034221 | Anna Garcia | Counselor | 1505 N Chestnut, Fresno, CA 93703 | 2017-03-27 |
| 1306227947 | Innovations Counseling Services | Health Maintenance Organization | 2100 Wst. Winery Ave, 101, Fresno, CA 93703 | 2015-06-09 |
| 1639592553 | Janelle K Raynor | Counselor | 1911 East Princeton Avenue, Fresno, CA 93703 | 2014-01-29 |
| 1104166297 | Jessica Marie Flowers-guerrero | Marriage & Family Therapist | 3133 N. Millbrook Ave., Fresno, CA 93703 | 2013-02-26 |
| Find all providers in zip 93703 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 |
|---|---|---|---|---|
| 1457562316 | Baljeet S. Sidhu M.d. Inc | Internal Medicine | 1313 E Herndon Ave Ste 103, Fresno, CA 93720-3306 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396115853 | Cedars Primary Care Apmc | Internal Medicine | 18370 Burbank Blvd Ste 201, Tarzana, CA 91356-2853 | 2015-09-28 |
| 1669886933 | Marius Viseroi | Internal Medicine | 3231 Waring Ct Ste D, Oceanside, CA 92056-4510 | 2014-06-16 |
| 1730314378 | Lofty L Basta | Internal Medicine | 765 Market St Apt 35a, San Francisco, CA 94103-2041 | 2009-05-27 |
| 1659534766 | Goodfaith Family Medical Clinic | Internal Medicine | 7540 Garvey Ave Ste C, Rosemead, CA 91770-2960 | 2008-07-08 |
| 1710109509 | Joshua A Jacobi | Internal Medicine | 301 S Fair Oaks Ave Ste 404, Pasadena, CA 91105-2562 | 2007-05-03 |
| 1972624955 | Innovative Medical Solutions Inc A Medical Group | Internal Medicine | 14860 Roscoe Blvd Ste 200, Panorama City, CA 91402-4683 | 2007-04-03 |
| 1326101445 | Karen K.w. Kakishiba, M.d. Inc. | Internal Medicine | 810 Richland Rd, Yuba City, CA 95991-6200 | 2006-12-19 |
| 1518030543 | Lisa Law | Internal Medicine | 728 Pacific Ave Ste 302, San Francisco, CA 94133-4489 | 2006-11-16 |
| 1497844864 | Shigeki Fujitani | Internal Medicine | 6170 Canterbury Dr, Apt 222, Culver City, CA 90230-7929 | 2006-10-12 |
| 1982791562 | Rafayel Gevorkian | Internal Medicine | 5129 W Sunset Blvd, Los Angeles, CA 90027-5715 | 2006-10-06 |
| 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.