SAN JOAQUIN VALLEY INTERVENTIONAL PAIN MEDICAL GROUP (NPI# 1710085014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710085014 |
| Entity Type | Organization |
| Organization Name | SAN JOAQUIN VALLEY INTERVENTIONAL PAIN MEDICAL GROUP |
| Practice Address |
6210 N 1st St Fresno CA 93710-5447 |
| Mailing Address |
Po Box 3969 Cerritos CA 90703-3969 |
| Practice Telephone | 5624072080 |
| Practice Fax Number | 5624072082 |
| Mailing Telephone | 5624072080 |
| Mailing Fax Number | 5624072082 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-06-11 |
| Authorized Official Name | DR. JOHN FRANCIS PETRAGLIA (PRESIDENT) |
| Authorized Official Telephone | 5624072080 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
6210 N 1ST ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-5447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811292063 | First Interventional Surgery Center, Inc. | Clinic/Center | 6210 N 1st St, Fresno, CA 93710-5446 | 2011-01-19 |
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649297672 | Ganesh Prasad, M.d., Inc. | Anesthesiology | 5771 N Fresno St Ste 110, Fresno, CA 93710-6091 | 2006-07-16 |
| 1669413506 | Berj Toros Kalamkarian | Anesthesiology | 7152 N Sharon Ave, Suite 102, Fresno, CA 93720-3361 | 2006-06-10 |
| 1265983282 | Robert G. Salazar M.d. Inc | Anesthesiology | 7152 N Sharon Ave Ste 102, Fresno, CA 93720-3361 | 2016-10-14 |
| 1295070365 | B. David Singh, M.d., Inc | Anesthesiology | 5771 N Fresno St Ste 109, Fresno, CA 93710-6091 | 2012-11-30 |
| 1497017636 | Marta Z Bator Md Professional Corporation | Anesthesiology | 1515 E Alluvial Ave, Suite 101, Fresno, CA 93720-3832 | 2012-06-13 |
| 1184983785 | Andrui Nazarian | Anesthesiology | 155 N Fresno St, Fresno, CA 93701-2302 | 2012-05-16 |
| 1861729592 | Janardhan Grandhe Md A Medical Corporation | Anesthesiology | 1805 E Fir Ave, #104, Fresno, CA 93720-3859 | 2009-11-18 |
| 1760669386 | Eugene Huang, M.d., Inc. | Anesthesiology | 7152 N Sharon Ave, 102, Fresno, CA 93720-3361 | 2008-01-25 |
| 1184836611 | Marta Bator | Anesthesiology | 1515 E Alluvial Ave, Suite 101, Fresno, CA 93720-3832 | 2007-05-04 |
| 1336201011 | William Edward Von Kaenel II | Anesthesiology | 6121 N Thesta St, Ste. 106, Fresno, CA 93710-8603 | 2006-12-15 |
| 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.