DOWNTOWN DENTAL SURGERY CENTER OF FRESNO (NPI# 1699052886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699052886 |
| Entity Type | Organization |
| Organization Name | DOWNTOWN DENTAL SURGERY CENTER OF FRESNO |
| Practice Address |
1045 S St Fresno CA 93721-1406 |
| Mailing Address |
2838 Mariposa St Fresno CA 93721-1308 |
| Practice Telephone | 5592662005 |
| Practice Fax Number | 8886308881 |
| Mailing Telephone | 8312122123 |
| Mailing Fax Number | 8886308881 |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |
| Authorized Official Name | MR. SHELBY JOBE (PRESIDENT) |
| Authorized Official Telephone | 8312122123 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
CA | Ambulatory Health Care Facilities |
| Street Address |
1045 S ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
| 1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
| 1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
| 1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
| 1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
| 1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| Find all providers in zip 93721 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255722336 | Northwest Surgical Development of Fresno LLC | Clinic/Center | 7015 N Maple Ave, Ste 102, Fresno, CA 93720-8010 | 2015-02-11 |
| 1396005823 | Ldac Surgery Center, Inc | Clinic/Center | 6153 N Thesta St, Fresno, CA 93710-5266 | 2012-05-17 |
| 1558672626 | California Colon and Rectal Cancer Screening Center LLC | Clinic/Center | 7121 N Whitney Ave, Fresno, CA 93720-0000 | 2010-06-23 |
| 1407016850 | Childrens Dental Surgery Center of Fresno Inc. | Clinic/Center | 3796 N Fresno St Ste 103, Fresno, CA 93726-5500 | 2008-06-10 |
| 1528236734 | Sierra Pacific Surgery Center Lp | Clinic/Center | 1630 E Herndon Avenue Ste 100, Fresno, CA 93720-3305 | 2008-02-11 |
| 1558417972 | Sierra Plastic Surgery Center Inc | Clinic/Center | 6153 N Thesta, Fresno, CA 93710-5266 | 2007-01-26 |
| 1336223585 | Peter T. Truong, M.d., Surgical Center, Inc. | Clinic/Center | 9497 N Fort Washington, 103, Fresno, CA 93730-0660 | 2006-10-24 |
| 1225123227 | Comprehensive Pain Management Center, Inc. | Clinic/Center | 7152 N Sharon #104, Fresno, CA 93720 | 2006-10-04 |
| 1982709572 | Vallarine Dental Corporation | Clinic/Center | 2828 Fresno St, Suite 100, Fresno, CA 93721-1327 | 2006-09-14 |
| 1528179603 | Advanced Care Management, Inc. | Clinic/Center | 2838 Mariposa St, Fresno, CA 93721-1308 | 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.