FRESENIUS MEDICAL CARE FRESNO, LLC (NPI# 1649515115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649515115 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE FRESNO, LLC |
| Other Organization Name | SAN JOAQUIN VALLEY DIALYSIS CENTER |
| Practice Address |
3036 North 1st St. Suite 144 Fresno CA 93726-6818 |
| Practice Telephone | 5592216311 |
| Practice Fax Number | 5592217741 |
| Mailing Telephone | 5592216311 |
| Mailing Fax Number | 5592217741 |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2012-12-11 |
| Authorized Official Name | MARK R FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| san Joaquin Valley Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235677832 | Fresenius Medical Care Fresno, LLC | Clinic/Center | 1899 N Helm Ave, Suite 102, Fresno, CA 93727-1612 | 2017-02-03 |
| 1669840146 | Fresenius Medical Care Fresno, LLC | Clinic/Center | 1899 N Helm Ave Ste 101, Fresno, CA 93727-1612 | 2015-09-14 |
| 1669717039 | Fresenius Medical Care Fresno, LLC | Clinic/Center | 6737 N Willow Ave, Bldg C, Fresno, CA 93710-5954 | 2012-12-11 |
| Street Address |
3036 NORTH 1ST ST. SUITE 144 |
| City | FRESNO |
| State | CA |
| Zip Code | 93726-6818 |
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152645 | Navin Dialysis, LLC | Clinic/Center | 4314 E Jensen Ave, Fresno, CA 93706-9049 | 2020-07-23 |
| 1942784541 | Fresenius Medical Care Fresno North Home, LLC | Clinic/Center | 6733 N Willow Ave Ste 101, Fresno, CA 93710-5953 | 2018-09-19 |
| 1235677832 | Fresenius Medical Care Fresno, LLC | Clinic/Center | 1899 N Helm Ave, Suite 102, Fresno, CA 93727-1612 | 2017-02-03 |
| 1669840146 | Fresenius Medical Care Fresno, LLC | Clinic/Center | 1899 N Helm Ave Ste 101, Fresno, CA 93727-1612 | 2015-09-14 |
| 1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
| 1669717039 | Fresenius Medical Care Fresno, LLC | Clinic/Center | 6737 N Willow Ave, Bldg C, Fresno, CA 93710-5954 | 2012-12-11 |
| 1659647808 | South Fork Dialysis LLC | Clinic/Center | 560 E Herndon Ave, Ste 101, Fresno, CA 93720-2907 | 2012-03-31 |
| 1821269069 | Bio-medical Applications of California, Inc. | Clinic/Center | 6737 N Willow Ave Ste 101, Fresno, CA 93710-5954 | 2008-03-16 |
| 1073705018 | Total Renal Care Inc | Clinic/Center | 6121 N Thesta St Ste 102, Fresno, CA 93710-5294 | 2007-08-14 |
| 1215049119 | Bio-medical Applications of Fresno, Inc. | Clinic/Center | 3636 North First Street, #144, Fresno, CA 93726-6818 | 2006-08-31 |
| 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.