MR. RANDY JAMES CALLAHAN (NPI# 1629246202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629246202 |
| Entity Type | Individual |
| Full Name | MR. RANDY JAMES CALLAHAN |
| Credential | P.A. |
| Practice Address |
1322 E Shaw Ave Ste 410 Fresno CA 93710-7904 |
| Practice Telephone | 5592261316 |
| Practice Fax Number | 5592261615 |
| Mailing Telephone | 5592261316 |
| Mailing Fax Number | 5592261315 |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2020-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA12968 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13939 E 14th St, Suite 150, San Leandro, CA 945782601 | 5103438300 | 5103438301 |
| Street Address |
1322 E SHAW AVE STE 410 |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-7904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871598623 | Susan Davin | Nurse Practitioner | 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904 | 2005-06-17 |
| 1326669375 | Joan Joy | Marriage & Family Therapist | 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904 | 2020-04-30 |
| 1528539681 | Andrew Douglas Monasterio | Nurse Practitioner | 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904 | 2018-12-16 |
| 1518440361 | Donald Thomas Vercellini Jr. | Psychologist | 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904 | 2018-09-07 |
| 1518448521 | Sheng Yang | Nurse Practitioner | 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904 | 2018-08-27 |
| 1700330891 | Ming Morris | Nurse Practitioner | 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904 | 2016-08-07 |
| 1417331679 | Justin Matthew Wallace | Marriage & Family Therapist | 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904 | 2015-07-16 |
| 1861739989 | Paul Hulak | Registered Nurse | 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904 | 2013-01-09 |
| 1184921199 | Nadia Yousef Orme | Marriage & Family Therapist | 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904 | 2011-02-28 |
| 1306156179 | Ani Tokat | Psychiatry & Neurology | 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904 | 2010-10-14 |
| Find all providers in the same location | ||||
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951057 | Sylvia Kim Hinton | Physician Assistant | 4085 N Peach Ave Apt 204, Fresno, CA 93727-8416 | 2020-08-06 |
| 1790300721 | Cayla Marie Clark | Physician Assistant | 4523 N Sunnyside Ave, Fresno, CA 93727-7265 | 2020-06-16 |
| 1720601396 | Cynthia Thompson | Physician Assistant | 699 E Portland Ave, Fresno, CA 93720-2114 | 2020-05-18 |
| 1679124507 | Folawemimo Eve Oluwaseun Onigbinde | Physician Assistant | 1131 Noble Glen Dr, Fresno, TX 77545-9689 | 2019-09-23 |
| 1194380253 | Edgar Ivan Mercado | Physician Assistant | 1350 O St Ste 202, Fresno, CA 93721-1828 | 2019-05-04 |
| 1255892683 | Stephanie Tran | Physician Assistant | 6700 N 1st St Ste 131, Fresno, CA 93710-3947 | 2019-03-28 |
| 1942624473 | Konducive Concepts | Physician Assistant | 4006 Dogwood Bough Ln, Fresno, TX 77545-7128 | 2014-02-04 |
| 1568891729 | Robert Ginther | Physician Assistant | 1300 N Fresno St Ste 220, Fresno, CA 93703-3843 | 2013-11-07 |
| 1134472707 | Isaac Gutierrez | Physician Assistant | 4105 W Swift Ave Ste 101, Fresno, CA 93722-6386 | 2012-10-19 |
| 1598033078 | Omni Women's Health Medical Group | Physician Assistant | 3612 N. First St., Fresno, CA 93726 | 2011-12-12 |
| 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.