SHIELD CALIFORNIA HEALTH CARE CENTER INC (NPI# 1730293754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730293754 |
| Entity Type | Organization |
| Organization Name | SHIELD CALIFORNIA HEALTH CARE CENTER INC |
| Practice Address |
423 W Fallbrook Ave Suite 101 Fresno CA 93711-6138 |
| Mailing Address |
27911 Franklin Pkwy Valencia CA 91355-4110 |
| Practice Telephone | 5594496142 |
| Practice Fax Number | 5594494257 |
| Mailing Telephone | 6612944200 |
| Mailing Fax Number | 6612941042 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2016-01-07 |
| Authorized Official Name | DAREN DICKERSON (CFO) |
| Authorized Official Telephone | 6612944200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 102576 | CA | Suppliers |
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
102576 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DME03334F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578677597 | Shield California Health Care Center Inc | Durable Medical Equipment & Medical Supplies | 2950 Buskirk Ave, Suite 180, Walnut Creek, CA 94597-7779 | 2006-08-18 |
| 1275647299 | Shield California Health Care Center Inc | Durable Medical Equipment & Medical Supplies | 3290 E Guasti Rd, Suite 130, Ontario, CA 91761-8647 | 2006-08-18 |
| 1316051337 | Shield California Health Care Center Inc | Durable Medical Equipment & Medical Supplies | 9520 Norwalk Blvd, Santa Fe Springs, CA 90670-2930 | 2006-08-18 |
| 1881708899 | Shield California Health Care Center Inc | Durable Medical Equipment & Medical Supplies | 27911 Franklin Pkwy, Valencia, CA 91355-4110 | 2006-08-18 |
| Street Address |
423 W FALLBROOK AVE SUITE 101 |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-6138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477807006 | Ashli Healthcare Inc | Durable Medical Equipment & Medical Supplies | 323 W Cromwell Ave, Suite 117, Fresno, CA 93711-5844 | 2012-11-05 |
| 1518945161 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 5712 E Fountain Way, Fresno, CA 93727-7814 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1447851274 | Apollo Medical Equipment | Durable Medical Equipment & Medical Supplies | 16104a Hart St, Van Nuys, CA 91406-3903 | 2020-11-06 |
| 1437766896 | Clearfast, Inc | Durable Medical Equipment & Medical Supplies | 160 Chesterfield Dr, Ste 101, Cardiff By The Sea, CA 92007-1900 | 2020-09-29 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1699262808 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 4900 Rivergrade Rd Ste E120, Irwindale, CA 91706-1419 | 2018-04-13 |
| 1245773043 | Hygeia II Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1121 W Valley Blvd, Suite I, Tehachapi, CA 93561-2171 | 2016-11-28 |
| 1336531276 | You Chu Xia | Durable Medical Equipment & Medical Supplies | 1972 W Holt Ave, Pomona, CA 91768-3305 | 2015-03-02 |
| 1417209438 | Optum Infusion Services 401, LLC | Durable Medical Equipment & Medical Supplies | 4610 Northgate Blvd, Ste. 130, Sacramento, CA 95834-1122 | 2012-10-15 |
| 1821353335 | Go2medical, LLC | Durable Medical Equipment & Medical Supplies | 2003 S El Camino Real, Suite 204, Oceanside, CA 92054-6214 | 2012-07-10 |
| 1740589241 | H & H Drug Sores, Inc. | Durable Medical Equipment & Medical Supplies | 4674 E Waterloo Rd, Stockton, CA 95215-2309 | 2011-03-23 |
| 1598068512 | Fundamental Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 7114 Reseda Blvd, Reseda, CA 91335-4210 | 2010-12-14 |
| Find all providers with the same taxonomy | ||||
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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.