JANE F KARDASHIAN MD INC (NPI# 1376030080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376030080 |
| Entity Type | Organization |
| Organization Name | JANE F KARDASHIAN MD INC |
| Practice Address |
6769 N Fresno Fresno CA 93710 |
| Mailing Address |
200 Rittenhouse Circle East Building Ste 5 Bristol PA 19007 |
| Practice Telephone | 8885900808 |
| Practice Fax Number | 8667404689 |
| Mailing Telephone | 8885900808 |
| Mailing Fax Number | 8667404689 |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |
| Authorized Official Name | MACKENZIE HAHN (NCPDP COORDINATOR) |
| Authorized Official Telephone | 8885900808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | G43958 | CA | Suppliers |
| Street Address |
6769 N FRESNO |
| City | FRESNO |
| State | CA |
| Zip Code | 93710 |
| 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 |
| 1275033748 | Andrew Olson | Behavior Technician | 1630 E Shaw Ave Ste 190, Fresno, CA 93710 | 2018-02-20 |
| Find all providers in zip 93710 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285048819 | Gs Medical Center, Inc. | Non-Pharmacy Dispensing Site | 5550 N Palm Ave, Suite 105, Fresno, CA 93704-1948 | 2014-06-11 |
| 1578095907 | All American Medical Orthopedic Clinics Inc | Non-Pharmacy Dispensing Site | 5528 N Palm Ave, Suite 104, Fresno, CA 93704-1951 | 2017-04-03 |
| 1730520446 | Apna Health Clinic, Inc. | Non-Pharmacy Dispensing Site | 4105 W Swift Ave, Suite 101, Fresno, CA 93722-6385 | 2013-07-10 |
| 1538504550 | Community Medical Providers Medical Group Inc | Non-Pharmacy Dispensing Site | 1570 E Herndon Ave, Fresno, CA 93720-3303 | 2013-05-03 |
| 1801139878 | Linder Quann Medical Associates Inc | Non-Pharmacy Dispensing Site | 1221 E Spruce Ave, Fresno, CA 93720-3374 | 2013-03-28 |
| 1154612703 | Sanjay Chauhan Md, Inc. | Non-Pharmacy Dispensing Site | 2407 E Sussex Way, Suite 107, Fresno, CA 93726-4034 | 2011-04-29 |
| 1871882712 | Edgar S. Macias, M.d., Inc | Non-Pharmacy Dispensing Site | 7115 N Chestnut Ave Ste 101, Fresno, CA 93720-0361 | 2011-03-31 |
| 1861707390 | Gs Medical Center Inc | Non-Pharmacy Dispensing Site | 1515 E Alluvial Ave, Ste 105, Fresno, CA 93720-3832 | 2010-08-09 |
| 1750394342 | California Cancer Associates for Research and Excellence, Inc. | Non-Pharmacy Dispensing Site | 7130 N Millbrook Ave, Fresno, CA 93720-3347 | 2006-08-14 |
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| 1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
| 1235680802 | Wizard of Eyes Optical | Non-Pharmacy Dispensing Site | 17205 Ventura Blvd Unit A, Encino, CA 91316-4007 | 2016-10-19 |
| 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.