CHARLES J GAVIN MD INC. (NPI# 1750656534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750656534 |
| Entity Type | Organization |
| Organization Name | CHARLES J GAVIN MD INC. |
| Practice Address |
6327 N Fresno St Suite 101 Fresno CA 93710-5236 |
| Practice Telephone | 5594355263 |
| Practice Fax Number | 5594357195 |
| Mailing Telephone | 5594355263 |
| Mailing Fax Number | 5594357195 |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |
| Authorized Official Name | CHARLES J GAVIN (OWNER) |
| Authorized Official Telephone | 5594355263 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G32896 | CA | Other Service Providers |
| Street Address |
6327 N FRESNO ST SUITE 101 |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-5236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398150 | Paul J Goebel | Internal Medicine | 6327 N Fresno St, Suite 104, Fresno, CA 93710-5236 | 2005-06-30 |
| 1245556315 | Pavel Volkov | Internal Medicine | 6327 N Fresno St, Ste# 104, Fresno, CA 93710-5236 | 2010-04-14 |
| 1497951974 | Pardeep S. Bhullar Md, Inc | Internal Medicine | 6327 N Fresno St, Suite 104, Fresno, CA 93710-5236 | 2007-06-22 |
| 1003931304 | Roydon Glen Fredrick Steinke | Obstetrics & Gynecology | 6327 N Fresno St, Suite 101, Fresno, CA 93710-5236 | 2007-03-19 |
| 1649354465 | Robert O Wilson | Obstetrics & Gynecology | 6327 N Fresno St, #101, Fresno, CA 93710-5236 | 2006-10-25 |
| 1215967054 | Anoush Ann Khodaverdian | Pediatrics | 6327 N Fresno St, Suite 108, Fresno, CA 93710-5236 | 2006-07-04 |
| 1659313567 | Karandeep Singh | Internal Medicine | 6327 N Fresno St, Ste # 104, Fresno, CA 93710-5236 | 2006-06-12 |
| 1750389334 | John A Roper | Internal Medicine | 6327 N Fresno St, Suite 104, Fresno, CA 93710-5236 | 2005-07-08 |
| 1558368860 | Robert F Crooks | Internal Medicine | 6327 N Fresno St, Suite 104, Fresno, CA 93710-5236 | 2005-06-30 |
| 1063419364 | Pardeep Singh Bhullar | Internal Medicine | 6327 N Fresno St, Suite 104, Fresno, CA 93710-5236 | 2005-06-30 |
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| 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 |
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| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1326440884 | Testosterone Optimization Program, Inc. | Specialist | 6085 N. First St., Suite 102, Fresno, CA 93710 | 2014-09-16 |
| 1598199325 | Anwer A Shaikh, M.d., Inc. | Specialist | 347 E Barstow Ave Suite 108, Fresno, CA 93710-5282 | 2013-08-28 |
| 1063759090 | Ani Thompson | Specialist | 585 W Nees Ave # 115, Fresno, CA 93711-6279 | 2013-01-10 |
| 1053657890 | Noel Joseph Smith | Specialist | 3161 W Kearney Blvd, Fresno, CA 93706-2214 | 2012-12-26 |
| 1164779344 | Vanade Billing Services | Specialist | 1311 N Teal Estates Cir, Fresno, TX 77545-9679 | 2012-08-07 |
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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.