DALE L MERRILL (NPI# 1396732749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396732749 |
| Entity Type | Individual |
| Full Name | DALE L MERRILL |
| Credential | MD |
| Practice Address |
1313 E Herndon Ave Ste 203 Fresno CA 93720-3306 |
| Practice Telephone | 5594396808 |
| Practice Fax Number | 5594399335 |
| Mailing Telephone | 5594396808 |
| Mailing Fax Number | 5594399335 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2008-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G27416 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G274160 | 05 |
| Street Address |
1313 E HERNDON AVE STE 203 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447658 | Vickie A Walton | Specialist | 1313 E Herndon Ave, Ste 205, Fresno, CA 93720-3306 | 2005-06-14 |
| 1558980003 | Rameet Singh Sidhu | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave, Fresno, CA 93720-3306 | 2020-04-14 |
| 1356960108 | Paul A. Kohanteb | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave, Fresno, CA 93720-3306 | 2020-04-12 |
| 1942829791 | Jasdave S. Maan | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave, Fresno, CA 93720-3306 | 2020-04-12 |
| 1417576208 | Derrick Martin | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave, Fresno, CA 93720-3306 | 2020-04-11 |
| 1639798507 | Anand Neil Shivaprasad | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave, Fresno, CA 93720-3306 | 2020-04-10 |
| 1568081750 | Yudhveer Brar | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave, Fresno, CA 93720-3306 | 2020-04-09 |
| 1023637188 | Brian Nan Peng | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave, St 105, Fresno, CA 93720-3306 | 2020-04-09 |
| 1699394627 | Harjot Kaur Bath | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave, Fresno, CA 93720-3306 | 2020-04-09 |
| 1154940245 | Harkanwal Kaur | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave, Fresno, CA 93720-3306 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1770122871 | John R. Nelson M.d. Inc. | Internal Medicine | 7061 N Whitney Ave Ste 101, Fresno, CA 93720-8025 | 2020-01-06 |
| 1730558305 | Advanced Specialty Care | Internal Medicine | 1681 E. Banwell Lane, Fresno, CA 93730 | 2015-09-24 |
| 1497191738 | Duong Le | Internal Medicine | 2335 E Kashian Ln Ste 460, Fresno, CA 93701-2230 | 2013-05-14 |
| 1295807089 | Chann & Chann Md Professional Corp | Internal Medicine | 6089 N 1st, St 102, Fresno, CA 93710 | 2006-11-15 |
| 1255341814 | Cardiac Institute of Central California A Medical Corporation | Internal Medicine | 30 River Park Place W, 440, Fresno, CA 93720 | 2006-08-08 |
| 1962429753 | Harcharn S Chann | Internal Medicine | 6089 N First, #102, Fresno, CA 93710-5444 | 2006-07-16 |
| 1588603369 | Sanjay S Srivatsa | Internal Medicine | 7206 N Milburn Ave, Ste 105, Fresno, CA 93722-8450 | 2006-06-06 |
| 1396714937 | Michael L Krueger | Internal Medicine | 7033 N Fresno St, Ste 301, Fresno, CA 93720 | 2006-03-16 |
| 1508835463 | Rohit Sundrani | Internal Medicine | 1207 E Herndon Ave, Fresno, CA 93720-3235 | 2006-03-14 |
| 1629048012 | Khoi Manh Le | Internal Medicine | 6323 N Fresno St, Fresno, CA 93710-5282 | 2006-01-26 |
| 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.