DAVID N. TASHJIAN, M.D. INC (NPI# 1417259037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417259037 |
| Entity Type | Organization |
| Organization Name | DAVID N. TASHJIAN, M.D. INC |
| Practice Address |
1290 E Spruce Ave Suite 101 Fresno CA 93720-3371 |
| Practice Telephone | 5594312397 |
| Practice Fax Number | 5594471325 |
| Mailing Telephone | 5594312397 |
| Mailing Fax Number | 5594471325 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |
| Authorized Official Name | DR. DAVID NORMAN TASHJIAN (PRESIDENT) |
| Authorized Official Telephone | 5594312397 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
C41281 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1290 E SPRUCE AVE SUITE 101 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-3371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942295381 | Brenda Berry | Internal Medicine | 1290 E Spruce Ave, Suite 101, Fresno, CA 93720-3371 | 2005-09-12 |
| 1093790917 | David Norman Tashjian | Dermatology | 1290 E Spruce Ave, #101, Fresno, CA 93720-3371 | 2005-12-14 |
| 1497730527 | Salma Simjee | Dermatology | 1290 E Spruce Ave, Ste 101, Fresno, CA 93720-3371 | 2005-12-13 |
| 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 | 207NI0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Clinical & Laboratory Dermatological Immunology |
| A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427284066 | Veena Vanchinathan | Dermatology | 200 Medical Plz # 450, Department of Dermatology, Los Angeles, CA 90095-3075 | 2009-06-10 |
| 1740371269 | Recia Kott Blumenkranz | Dermatology | 1225 Crane Street, Suite 102, Menlo Park, CA 94025 | 2006-09-28 |
| 1558378000 | Glen William Metz | Dermatology | 601 E Romie Ln, Suite # 1, Salinas, CA 93901-4229 | 2006-08-01 |
| 1366445116 | Orval Myron Eshelman | Dermatology | 14981 National Ave, Ste 3, Los Gatos, CA 95032-2600 | 2005-05-24 |
| 1083104012 | Charlene V. Kakimoto, Md, Inc | Dermatology | 230 Prospect Pl Ste 260, Coronado, CA 92118-1987 | 2018-05-15 |
| 1083120992 | Medical Dermatology & Cosmetic Clinic of Northern California | Dermatology | 650 University Ave Ste 200, Sacramento, CA 95825 | 2017-12-15 |
| 1568699106 | Butani Dermatology Inc | Dermatology | 170 S Main St, Suite 200, Orange, CA 92868-2801 | 2009-06-22 |
| 1760663116 | Miremadi Dermatology Medical Corporation | Dermatology | 7702 Ivanhoe Ave, La Jolla, CA 92037-4520 | 2007-11-14 |
| 1154527901 | California Skin Institute, A Medical Corporation | Dermatology | 525 South Dr Ste 115, Mountain View, CA 94040-4211 | 2007-06-26 |
| 1306935200 | D.a. Lopez, Md | Dermatology | 230 Prospect Pl, Suite 260, Coronado, CA 92118-1978 | 2006-10-11 |
| 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.