AFFIRM MEDICAL GROUP, INC (NPI# 1700246865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700246865 |
| Entity Type | Organization |
| Organization Name | AFFIRM MEDICAL GROUP, INC |
| Practice Address |
302 Fresno St Suite 105 Fresno CA 93706-3600 |
| Practice Telephone | 5594785988 |
| Practice Fax Number | 5594785335 |
| Mailing Telephone | 5594785988 |
| Mailing Fax Number | 5594785335 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |
| Authorized Official Name | ANGELA BROWN (CEO) |
| Authorized Official Telephone | 5594785988 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
CA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | AFFIRM MEDICAL GROUP, INC. | 5305 River Rd N, Suite B, Keizer, OR 97303 |
| Street Address |
302 FRESNO ST SUITE 105 |
| City | FRESNO |
| State | CA |
| Zip Code | 93706-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124070552 | Sequoia Community Health Foundation, Inc. | Clinic/Center | 302 Fresno St, Suite 102, Fresno, CA 93706-3600 | 2006-05-16 |
| 1023472743 | Kevin Dipondo Ouma | Internal Medicine | 302 Fresno St, Fresno, CA 93706-3600 | 2016-04-08 |
| 1891116414 | West Fresno Foot Clinic Inc | Podiatrist | 302 Fresno St, 105, Fresno, CA 93706-3600 | 2013-12-27 |
| 1497183560 | Angela Brown | Nurse Practitioner | 302 Fresno St, Suite 105, Fresno, CA 93706-3600 | 2013-10-28 |
| 1811225386 | Prabhdeep Kaur Gill | Dentist | 302 Fresno St, Suite 204, Fresno, CA 93706 | 2009-11-22 |
| 1194978973 | Clinica Sierra Vista | Clinic/Center | 302 Fresno St, Ste(s) 101, 103, 200 & 204, Fresno, CA 93706-3600 | 2008-10-24 |
| 1275786063 | Clinica Sierra Vista | Clinic/Center | 302 Fresno St, Suite #101, #103, #200, #204, Fresno, CA 93706-3600 | 2008-10-24 |
| 1326297904 | Clinica Sierra Vista | Clinic/Center | 302 Fresno St, Ste 101, 103, 200, 204, Fresno, CA 93706-3600 | 2008-09-18 |
| 1689834517 | Evelen Soliman | Obstetrics & Gynecology | 302 Fresno St, Ste # 201, Fresno, CA 93706-3600 | 2008-06-13 |
| 1386839538 | Nadereh H Ebrahimi | Dentist | 302 Fresno St, Suite 204, Fresno, CA 93706-3600 | 2007-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1821567538 | Misty Dawn Shepherd | Counselor | 2772 Martin L King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1497224125 | Jose Jimenez | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1023587730 | James John Pokorny IIi | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1932574225 | Brandi Leos | Counselor | 2772 Mlk Jr. Blvd, Fresno, CA 93706 | 2015-12-11 |
| 1174998199 | Jeremiah Hinojosa | Counselor | 2772 S M.l.k. Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| 1538534557 | Megan Mahoney | Counselor | 2772 S Martin Luther King Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| Find all providers in zip 93706 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1487299699 | California Dreams Medical Corporation PC | Clinic/Center | 3656 W Shaw Ave, Fresno, CA 93711-3231 | 2019-11-12 |
| 1205487386 | Ranu Pediatrics Incoroporated | Clinic/Center | 5557 E Kings Canyon Rd, Fresno, CA 93727-4528 | 2019-09-20 |
| 1881164754 | Elite Medical Care Inc | Clinic/Center | 1515 E Alluvial Ave # 103, Fresno, CA 93720-3832 | 2018-12-04 |
| 1013423599 | Fresno Healthcare Center, Inc. | Clinic/Center | 3233 N Chestnut Ave Ste 102, Fresno, CA 93726-6441 | 2017-12-20 |
| 1164932414 | Nabil Baig Medical Corp | Clinic/Center | 7210 N Milburn Ave Ste 105, Fresno, CA 93722-8449 | 2017-10-01 |
| 1124567938 | Staywell Medical Group | Clinic/Center | 7413 N Cedar Ave Ste 101, Fresno, CA 93720-3833 | 2017-02-14 |
| 1609242791 | Freddie L. Hayes Md | Clinic/Center | 3702 E Saginaw Way, Fresno, CA 93726-5123 | 2015-08-12 |
| 1073908158 | Vang Children's Urgent Care, Inc. | Clinic/Center | 4615 N 1st St, Fresno, CA 93726-0904 | 2015-04-06 |
| 1992992481 | Dr. Francisco Salcedo Md Inc | Clinic/Center | 2650 Tuolumne St, Fresno, CA 93721-1227 | 2007-09-27 |
| 1518180298 | Suchat Jariangprasert M.d.,inc. | Clinic/Center | 2936 N Fresno St, Fresno, CA 93703-1123 | 2007-04-11 |
| 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.