MR. BOUNMY - PINYASONE (NPI# 1750505061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750505061 |
| Entity Type | Individual |
| Full Name | MR. BOUNMY - PINYASONE |
| Credential | PA-C, MPAS |
| Practice Address |
141 N. Clark Street Suite A Fresno CA 93701-2124 |
| Practice Telephone | 5595280565 |
| Practice Fax Number | 5595280567 |
| Mailing Telephone | 5595280565 |
| Mailing Fax Number | 5595280567 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA15674 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
141 N. CLARK STREET SUITE A |
| City | FRESNO |
| State | CA |
| Zip Code | 93701-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
| 1144849829 | Katelyn Nicole Van Leir | Student in an Organized Health Care Education/Training Program | Surabian Dental Care Center - Suite 2500, 290 N. Wayte Lane, Fresno, CA 93701 | 2020-04-13 |
| 1003445693 | Michelle Edwardson | Registered Nurse | 215 North Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-06 |
| 1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
| 1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
| 1275026585 | Yesenia Gonzalez | Nurse Practitioner | 311 Abby Street, Fresno, CA 93701 | 2018-06-11 |
| 1710474606 | Amanda Juarez | Dietitian, Registered | 215 N Fresno, Suite 370, Fresno, CA 93701 | 2018-04-17 |
| 1235650391 | Plastic Surgery Partners of Fresno Inc | Plastic Surgery | 215 N Fresno St, Ste 490, Fresno, CA 93701 | 2017-06-29 |
| 1205369790 | Amy Alagh | Student in an Organized Health Care Education/Training Program | 155 N Fresno Street, Fresno, CA 93701 | 2017-04-11 |
| 1922462159 | Henry Matthew Dunn | Student in an Organized Health Care Education/Training Program | Ucsf Fresno, 155 N. Fresno St., Department of Orthopaedic Surgery, Fresno, CA 93701 | 2016-04-13 |
| Find all providers in zip 93701 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881972164 | Pamela Oliver | Physician Assistant | 1187 E Herndon Ave Ste 106, Fresno, CA 93720-3166 | 2011-08-03 |
| 1134253180 | Joseph John Contreras | Physician Assistant | 6065 N 1st St, Suite 102, Fresno, CA 93710-5469 | 2007-03-14 |
| 1083653729 | Sheri Lynn Oswald | Physician Assistant | 1646 E Herndon Ave, Suite 106, Fresno, CA 93720-3380 | 2006-06-06 |
| 1447247820 | Miriam Levitt | Physician Assistant | 4770 W Herndon Ave, Fresno, CA 93722-8401 | 2005-09-30 |
| 1285257063 | Blake Phillip Dreihaus | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-27 |
| 1710509013 | Katherine Marie Pate | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-11 |
| 1982187100 | Theresa Ann Dwyer | Physician Assistant | 2335 E Kashian Ln Ste 240, Fresno, CA 93701-2211 | 2018-09-13 |
| 1639699853 | Gabrielle Melissa Powell | Physician Assistant | 2210 E Illinois Ave Ste 201, Fresno, CA 93701-2184 | 2017-06-20 |
| 1891220323 | Amy Maier | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2017-04-21 |
| 1962957928 | Jessi Grostefon | Physician Assistant | 1351 E Spruce Ave, Fresno, CA 93720-3342 | 2016-08-19 |
| Find all providers in FRESNO | ||||
Please comment or provide details below to improve the information on MR. BOUNMY - PINYASONE.
| 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.