DR. LARRY JESS DE ST. JEOR (NPI# 1417953472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417953472 |
| Entity Type | Individual |
| Full Name | DR. LARRY JESS DE ST. JEOR |
| Credential | M.D. |
| Practice Address |
231 W Fir Ave Clovis CA 93611-0220 |
| Practice Telephone | 5592970300 |
| Practice Fax Number | 5593235461 |
| Mailing Telephone | 5592970300 |
| Mailing Fax Number | 5593235461 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2008-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G25036 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G250360 | 05 |
| Street Address |
231 W FIR AVE |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-0220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174529135 | Martin Arthur Rindahl | Radiology | 231 W Fir Ave, Clovis, CA 93611-0220 | 2005-06-23 |
| 1427079581 | Fresno Imaging Center Medical Group | Radiology | 231 W Fir Ave, Clovis, CA 93611-0220 | 2006-07-22 |
| 1336165752 | Sierra Imaging Associates Medical Group Professional Corporation | Clinic/Center | 231 W Fir Ave, Clovis, CA 93611-0220 | 2006-07-15 |
| 1417953274 | Felix W Wang | Radiology | 231 W Fir Ave, Clovis, CA 93611-0220 | 2005-06-24 |
| 1952307894 | Glenn Isamu Hananouchi | Radiology | 231 W Fir Ave, Clovis, CA 93611-0220 | 2005-06-24 |
| 1437155496 | Bonna Rogers-neufeld | Radiology | 231 W Fir Ave, Clovis, CA 93611-0220 | 2005-06-23 |
| 1154327112 | Sadri Mehmet Akin | Radiology | 231 W Fir Ave, Clovis, CA 93611-0220 | 2005-06-23 |
| 1063418028 | Mark David Alson | Radiology | 231 W Fir Ave, Clovis, CA 93611-0220 | 2005-06-23 |
| 1508862566 | Leyla Mohassessy Azmoun | Radiology | 231 W Fir Ave, Clovis, CA 93611-0220 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174716781 | Michael A Rowley Md Pa | Radiology | 2100 N Mlk Jr Blvd, Radiology Department, Clovis, NM 88101 | 2007-08-27 |
| 1427079581 | Fresno Imaging Center Medical Group | Radiology | 231 W Fir Ave, Clovis, CA 93611-0220 | 2006-07-22 |
| 1952307894 | Glenn Isamu Hananouchi | Radiology | 231 W Fir Ave, Clovis, CA 93611-0220 | 2005-06-24 |
| 1437155496 | Bonna Rogers-neufeld | Radiology | 231 W Fir Ave, Clovis, CA 93611-0220 | 2005-06-23 |
| 1154327112 | Sadri Mehmet Akin | Radiology | 231 W Fir Ave, Clovis, CA 93611-0220 | 2005-06-23 |
| 1063418028 | Mark David Alson | Radiology | 231 W Fir Ave, Clovis, CA 93611-0220 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902116 | Vesta Telemedicine Solutions, Pllc | Radiology | 833 Americana Way Unit 251, Glendale, CA 91210-1538 | 2020-11-04 |
| 1558960161 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38209 47th St E Ste D, Palmdale, CA 93552-3113 | 2020-10-23 |
| 1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
| 1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
| 1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
| 1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
| 1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
| 1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
| 1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. LARRY JESS DE ST. JEOR.
| 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.