GINA L FENSKE (NPI# 1750342895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750342895 |
Entity Type | Individual |
Full Name | GINA L FENSKE |
Other Name | GINA L WOOD |
Credential | PAC |
Practice Address |
374 W Olive Ave Suite A Merced CA 95348-3181 |
Mailing Address |
Po Box 3768 Merced CA 95344-3768 |
Practice Telephone | 2093845766 |
Practice Fax Number | 2093834230 |
Mailing Telephone | 2097257149 |
Mailing Fax Number | 2097260134 |
Enumeration Date | 2006-03-29 |
Last Update Date | 2014-07-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA15207 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 053992 | 05 |
Street Address |
374 W OLIVE AVE SUITE A |
City | MERCED |
State | CA |
Zip Code | 95348-3181 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457550089 | Merced Faculty Associates Medical Group Incorporated | Family Medicine | 374 W Olive Ave, Suite A, Merced, CA 95348-3181 | 2007-07-13 |
1013096080 | Alan M Kleinman | General Practice | 374 W Olive Ave, Suite A, Merced, CA 95348-3181 | 2006-11-02 |
1932202942 | Michael Dee Robinette | Preventive Medicine | 374 W Olive Ave, Suite A, Merced, CA 95348-3181 | 2006-09-06 |
1144323189 | Douglas Johnson Eck | Family Medicine | 374 W Olive Ave, Suite B, Merced, CA 95348-3181 | 2006-09-06 |
1407886070 | Karen Lea Arnold | Physician Assistant | 374 W Olive Ave, Suite A, Merced, CA 95348-3137 | 2006-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063031649 | Sydney Towle | Counselor | 3360 N Hwy 59 Suite K, Merced, CA 95348 | 2020-04-13 |
1972147544 | Aaliyah Belt | Behavior Technician | 2808 Park Ave, Suite A, Merced, CA 95348 | 2019-11-06 |
1922566025 | Michelle Chao Lee | Case Manager/Care Coordinator | 3360 North Hwy 59 Suite K, Merced, CA 95348 | 2019-03-07 |
1760952246 | Noemi Diaz | Counselor | 3360 North Hwy.59 Suite K, Merced, CA 95348 | 2018-11-28 |
1518451632 | Kenneth Tiea Pay | Pharmacist | 767 Ironstone Dr, Merced, CA 95348 | 2018-06-21 |
1295223444 | Andraya Diane Plascencia | Behavior Technician | 335 M St, Merced, CA 95348 | 2018-04-24 |
1801398839 | Elisabet Pulido | Case Manager/Care Coordinator | 3360 N State Hwy 59, K, Merced, CA 95348 | 2018-03-06 |
1184126674 | Carolina Rosales | Behavior Technician | 3335 M St., Merced, CA 95348 | 2018-03-01 |
1659897957 | Melody Vega | Social Worker | 3195 M Street, Merced, CA 95348 | 2017-08-17 |
1942739305 | Salvador Tinoco Jaramillo | Marriage & Family Therapist | 3360 N Highway 59 Suite K, Merced, CA 95348 | 2017-06-08 |
Find all providers in zip 95348 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235417171 | Mayla T Carlos | Physician Assistant | 847 W. Childs Ave., Merced, CA 95341 | 2011-07-26 |
1861881690 | Scott S Newdang | Physician Assistant | 936 W Main St, Merced, CA 95340-4519 | 2015-01-16 |
1104250018 | Benjamin M Ward | Physician Assistant | 3150 G St, Ste C, Merced, CA 95340-1346 | 2013-08-27 |
1649590951 | Allyson Marie Holman | Physician Assistant | 847 W Childs Ave, Merced, CA 95341-6862 | 2010-06-09 |
1073753000 | Cecilia Jeanny Jang | Physician Assistant | 333 Mercy Ave, Emergency Department, Merced, CA 95340-8319 | 2009-03-03 |
1144460130 | Miriam Emily Arana | Physician Assistant | 847 W Childs Ave, Merced, CA 95341-6862 | 2009-03-03 |
1740307172 | Linda Fay Bates | Physician Assistant | 847 West Childs Ave, Merced, CA 95340 | 2007-03-22 |
1326021171 | Bounlath Kent Souksavong | Physician Assistant | 847 W Childs Ave, Merced, CA 95341-6862 | 2005-11-25 |
1629051537 | Umengsinh Gamelsinh Mangrola | Physician Assistant | 220 E 13th St, Merced, CA 95341-6250 | 2005-11-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
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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.