EL CAPITAN WOUND & DIABETIC CENTER INC (NPI# 1326462631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326462631 |
| Entity Type | Organization |
| Organization Name | EL CAPITAN WOUND & DIABETIC CENTER INC |
| Practice Address |
4747 N 1st St Ste 134 Fresno CA 93726 |
| Mailing Address |
4747 N 1st St Ste 134 Fresno CA 93726-0589 |
| Practice Telephone | 5594935484 |
| Practice Fax Number | 5594935751 |
| Mailing Telephone | 5594935484 |
| Mailing Fax Number | 5594935751 |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2018-08-21 |
| Authorized Official Name | DR. EARL D FERNANDO (CEO/PRESIDENT/OWNER) |
| Authorized Official Telephone | 5594935484 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G64927 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063774008 | El Capitan Wound & Diabetic Center Inc | Internal Medicine | 4747 N 1st St, 132, Fresno, CA 93726-0563 | 2012-06-14 |
| Street Address |
4747 N 1ST ST STE 134 |
| City | FRESNO |
| State | CA |
| Zip Code | 93726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528520814 | Tania Grijalva Miranda | Behavior Technician | 4910 E. Ashland Ave, Fresno, CA 93726 | 2019-04-04 |
| 1790249894 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 3751 E Shields Avenue, Fresno, CA 93726 | 2019-01-23 |
| 1013481100 | Jill A Perricone | Respiratory Therapist, Registered | 4785 N First St, Fresno, CA 93726 | 2019-01-11 |
| 1285108399 | Leann Lokelani Benton | Respiratory Therapist, Registered | 4785 N. First St, Fresno, CA 93726 | 2019-01-11 |
| 1548745912 | Alina Gonzalez | Counselor | 4440 N. First St., Fresno, CA 93726 | 2018-10-01 |
| 1336622067 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 3751 E Shields Ave, Fresno, CA 93726 | 2018-09-10 |
| 1730676206 | Joanne K Groves | Counselor | 3636 N. First Street, St. 123, Fresno, CA 93726 | 2018-04-19 |
| 1356865679 | Fresno Mental Psychological Health Services, P.C. | Clinic/Center | 4021 N Fresno Street, Ste. 101, Fresno, CA 93726 | 2017-07-28 |
| 1205358819 | Jetinder Singh Ghag | Counselor | 3636 N.first St # 135 and 154, Fresno, CA 93726 | 2017-07-14 |
| 1164897328 | Karam Um Dds Inc | Dentist | 4747 N. First St. #174, Fresno, CA 93726 | 2015-12-14 |
| Find all providers in zip 93726 | ||||
| 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 |
|---|---|---|---|---|
| 1184225872 | Prime Medicine Partners Inc | Internal Medicine | 7647 N Fresno St, Fresno, CA 93720-2578 | 2020-11-08 |
| 1861023715 | Central California Hospital Medicine Group Inc | Internal Medicine | 9635 N Matus Ave, Fresno, CA 93720-4630 | 2020-01-29 |
| 1013430982 | Family Wellness Clinic, Inc | Internal Medicine | 3152 N Millbrook Ave Ste C, Fresno, CA 93703-1459 | 2017-07-21 |
| 1639552755 | Rupinder Kaur Mann | Internal Medicine | 1303 E Herndon Ave # Ms 485, Fresno, CA 93720 | 2015-07-07 |
| 1205242153 | Susan Dominic, Md., Inc. | Internal Medicine | 7780 N Fresno St Ste 100, Fresno, CA 93720-2413 | 2014-07-10 |
| 1932546934 | Best Wound and Diabetes Care Inc | Internal Medicine | 2205 N Fresno St, C, Fresno, CA 93703-2210 | 2013-05-30 |
| 1649525742 | Jeffery M Hubbard Md Inc | Internal Medicine | 7780 N Fresno St Ste 102, Fresno, CA 93720-2413 | 2012-07-16 |
| 1144537317 | Wajiha Irshad | Internal Medicine | 1303 E Herndon Ave;, St Agnes Medical Center., Fresno, CA 93720 | 2010-09-08 |
| 1497068100 | Isira Jayanath Aravinda Perera | Internal Medicine | 1830 E Shepherd Ave Apt 107, Fresno, CA 93720-5616 | 2010-07-22 |
| 1073831798 | Jeremy Lawrence D'morias | Internal Medicine | 505 E Chesapeake Cir, Fresno, CA 93730-0740 | 2010-05-05 |
| Find all providers in FRESNO | ||||
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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.