MEDLINE MEDICAL CENTER (NPI# 1508174889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508174889 |
| Entity Type | Organization |
| Organization Name | MEDLINE MEDICAL CENTER |
| Practice Address |
3742 N 1st St Fresno CA 93726-5601 |
| Practice Telephone | 5593075990 |
| Practice Fax Number | 5594200369 |
| Mailing Telephone | 5593075990 |
| Mailing Fax Number | 5594200369 |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |
| Authorized Official Name | DR. SUDHIR BAGGA (CEO) |
| Authorized Official Telephone | 5593075990 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A34211 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3742 N 1ST ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93726-5601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912221748 | Eternity Health Care Inc | General Practice | 3742 N 1st St, Fresno, CA 93726-5601 | 2010-03-23 |
| 1437477767 | K Thomas Md Inc | General Practice | 3742 N 1st St, Fresno, CA 93726-5601 | 2010-05-11 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516253 | Lindsay Jackson-tito | Family Medicine | 3066 E Tenaya Way, Fresno, CA 93710-5944 | 2020-07-22 |
| 1982223228 | California Surgical Medical Clinics Inc. | Family Medicine | 1050 E Perrin Ave Ste 103, Fresno, CA 93720-5032 | 2020-04-15 |
| 1851925192 | One On One Medical Care | Family Medicine | 5468 W Athens Ave, Fresno, CA 93722-2100 | 2020-02-25 |
| 1760021380 | Kawana Idali Chester | Family Medicine | 5765 N Fresno St Ste 105, Fresno, CA 93710-6092 | 2019-12-30 |
| 1356860332 | Molly Alreichan Bachir | Family Medicine | 9526 N Winery Ave, Fresno, CA 93720-4600 | 2017-09-11 |
| 1568991990 | Kevin Kaleka | Family Medicine | 1110 N Blackstone Ave, Fresno, CA 93701-1016 | 2017-06-08 |
| 1326495078 | Nirpaul Singh Bains | Family Medicine | 3875 W Beechwood Ave, Fresno, CA 93711-0795 | 2016-05-23 |
| 1497147664 | Bautista Medical Group Inc | Family Medicine | 5339 E Kings Canyon Rd, Fresno, CA 93727-4527 | 2015-02-25 |
| 1548673239 | Cara Mcananey | Family Medicine | 290 N Wayte Ln Ste 1800, Fresno, CA 93701-2124 | 2014-06-10 |
| 1861805814 | John Ted Djabrayan | Family Medicine | 4711 W Ashlan Ave, Fresno, CA 93722-4307 | 2014-06-07 |
| 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.