BALTEJ SINGH SIDHU (NPI# 1609244730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609244730 |
Entity Type | Individual |
Full Name | BALTEJ SINGH SIDHU |
Credential | NP |
Practice Address |
2615 E Clinton Ave Fresno CA 93703-2223 |
Practice Telephone | 5592256100 |
Mailing Telephone | 5592256100 |
Enumeration Date | 2015-09-06 |
Last Update Date | 2015-09-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95001330 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2615 E CLINTON AVE |
City | FRESNO |
State | CA |
Zip Code | 93703-2223 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508862335 | Gene Raymond Conley | Internal Medicine | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2005-06-27 |
1699372839 | Shannon Mondry | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-10-01 |
1285249276 | Lauren La Violette | Registered Nurse | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-09-15 |
1982218251 | Ariel Celeste Sojourner Reid | Psychologist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-09-03 |
1477164432 | Claire Henry | Optometrist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-08-13 |
1154930006 | Victoria Sarah Leung | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-07-27 |
1881212397 | Veshudha Kang | Physician Assistant | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-07-10 |
1609492974 | Cindy Duncan | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-06-22 |
1346864600 | Maria Luisa Kitongan Akia | Registered Nurse | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-06-02 |
1528681376 | Sharon Heng | Optometrist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-05-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396395638 | Angelica Gomez | Behavior Technician | 1535 N. Cedar Ave Apt 159, Fresno, CA 93703 | 2019-09-18 |
1326521659 | Skylar Nunes | Licensed Vocational Nurse | 3133 N. Millbrook Ave, Fresno, CA 93703 | 2018-09-12 |
1700379377 | Heather Rae Mann | Counselor | 3133 N Miibrook Ave, Fresno, CA 93703 | 2018-06-08 |
1891296422 | Guardian Angel's Adult Day Healt Care, LLC | Clinic/Center | 4837 E. Mckinley Avenue, Fresno, CA 93703 | 2018-02-28 |
1275052987 | Diana Christine Garnica | Nurse Practitioner | 4950 E Clinton Ave, Fresno, CA 93703 | 2017-09-13 |
1639609241 | Ryan Ruhl | Case Manager/Care Coordinator | 3133 N Millbrook Ave., Fresno, CA 93703 | 2017-06-15 |
1972034221 | Anna Garcia | Counselor | 1505 N Chestnut, Fresno, CA 93703 | 2017-03-27 |
1306227947 | Innovations Counseling Services | Health Maintenance Organization | 2100 Wst. Winery Ave, 101, Fresno, CA 93703 | 2015-06-09 |
1639592553 | Janelle K Raynor | Counselor | 1911 East Princeton Avenue, Fresno, CA 93703 | 2014-01-29 |
1104166297 | Jessica Marie Flowers-guerrero | Marriage & Family Therapist | 3133 N. Millbrook Ave., Fresno, CA 93703 | 2013-02-26 |
Find all providers in zip 93703 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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1457855280 | Esther Josephine Utomi | Nurse Practitioner | 3902 W Teal Estates Cir, Fresno, TX 77545-9674 | 2018-03-19 |
1144752437 | Latricia Russell | Nurse Practitioner | 2510 Shadow Oaks Dr, Fresno, TX 77545-6070 | 2017-03-28 |
1003123183 | Yolanda Mata | Nurse Practitioner | 257 N Dewitt Ave, Fresno, CA 93727-3312 | 2010-09-09 |
1861470759 | Sherri L. Nash | Nurse Practitioner | 1340 W Herndon Ave, Fresno, CA 93711-0431 | 2006-01-03 |
1679564140 | Melissa Manriques | Nurse Practitioner | 1095 E Warner Ave, # 101, Fresno, CA 93710-4043 | 2005-11-02 |
1265082150 | Linda Mee Yang | Nurse Practitioner | 2042 Kern St, Fresno, CA 93721-2008 | 2019-09-12 |
1154895183 | Talia Romanyshyn | Nurse Practitioner | 7780 N Fresno St Ste 100, Fresno, CA 93720-2413 | 2019-01-12 |
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1487266292 | Mollie Shira Hudson | Nurse Practitioner | 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 | 2020-08-21 |
1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
1952912131 | Norman Ivan Kier | Nurse Practitioner | 3834 Edison Ave, Sacramento, CA 95821-2728 | 2020-08-12 |
1942811377 | Thanhan Mathews | Nurse Practitioner | 114 W Cameron St Apt B, Hanford, CA 93230-2965 | 2020-08-10 |
1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
1245849645 | Shannon Pereira | Nurse Practitioner | 2368 Honeysuckle Way, Hemet, CA 92545-4796 | 2020-07-31 |
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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.