GETTYSBURG MEDICAL CLINIC INC (NPI# 1609112499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609112499 |
| Entity Type | Organization |
| Organization Name | GETTYSBURG MEDICAL CLINIC INC |
| Other Organization Name | GETTYSBURG MEDICAL CLINIC,INC. |
| Practice Address |
5088 N Fresno St Ste D Fresno CA 93710-7611 |
| Practice Telephone | (559) 222-9362 |
| Practice Fax Number | 5592229369 |
| Mailing Telephone | (559) 222-9362 |
| Mailing Fax Number | 5592229369 |
| Enumeration Date | 2012-12-24 |
| Last Update Date | 2017-07-31 |
| Authorized Official Name | DR. GRACE WEE LIM (PRESIDENT) |
| Authorized Official Telephone | 5592446360 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | GETTYSBURG MEDICAL CLINIC,INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| GETTYSBURG MEDICAL CLINIC,INC. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174989594 | Gettysburg Medical Clinic Inc | Clinic/Center | 1834 Bellevue Rd, Atwater, CA 95301-2670 | 2016-01-14 |
| 1255680229 | Gettysburg Medical Clinic Inc | Emergency Medicine | 1359 N Fresno St Ste B, Fresno, CA 93703-3837 | 2012-09-05 |
| 1306203773 | Gettysburg Medical Clinic Inc | Clinic/Center | 3341 M St, Merced, CA 95348-2714 | 2016-01-15 |
| 1033580931 | Gettysburg Medical Clinic Inc | Clinic/Center | 1130 Coffee Rd, Building 10, Modesto, CA 95355-4228 | 2015-10-18 |
| Street Address |
5088 N FRESNO ST STE D |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-7611 |
| 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 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447729439 | Z Family Health Clinic, Inc. | General Practice | 1095 E Shaw Ave Ste 200, Fresno, CA 93710-7813 | 2018-11-19 |
| 1013361393 | Abby Medical Associates, Inc. | General Practice | 311 N Abby St, Fresno, CA 93701-1906 | 2016-04-22 |
| 1558755181 | Parayno M D Inc | General Practice | 1410 Kern St, 102, Fresno, CA 93706-3322 | 2015-03-20 |
| 1548519549 | Jf Urgent Care Medical Clinics Inc | General Practice | 1359 N Fresno St Ste A, Fresno, CA 93703-3837 | 2012-09-05 |
| 1609125152 | Jf Urgent Care Medical Clinics Inc | General Practice | 5088 N Fresno St Ste A, Fresno, CA 93710-7611 | 2012-08-30 |
| 1891061693 | Elpidio Fonte | General Practice | 2210 E Illinois Ave Ste 201, Fresno, CA 93701-2184 | 2012-03-26 |
| 1346513736 | Allen Kimwo Mau | General Practice | 3976 No. Sherman St, Fresno, CA 93726 | 2012-02-15 |
| 1043513526 | Amor Fernando Md Inc | General Practice | 3766 N 1st St, Fresno, CA 93726-5601 | 2010-12-06 |
| 1912221748 | Eternity Health Care Inc | General Practice | 3742 N 1st St, Fresno, CA 93726-5601 | 2010-03-23 |
| 1295975274 | Central California Sleep Center | General Practice | 7770 N Fresno St Ste 101, Fresno, CA 93720-2412 | 2009-03-03 |
| 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.