MIKHAIL WENUTU FRASER-GRAY (NPI# 1760648117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760648117 |
| Entity Type | Individual |
| Full Name | MIKHAIL WENUTU FRASER-GRAY |
| Credential | PA-C |
| Practice Address |
869 N Cherry St Tulare CA 93274-2207 |
| Mailing Address |
111 N Sepulveda Blvd Suite 210 Manhattan Beach CA 90266-6861 |
| Practice Telephone | 5596880821 |
| Practice Fax Number | 8185872493 |
| Mailing Telephone | 3103792134 |
| Mailing Fax Number | 3103794856 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2008-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 19766 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
869 N CHERRY ST |
| City | TULARE |
| State | CA |
| Zip Code | 93274-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306840723 | Tulare Local Health Care District | General Acute Care Hospital | 869 N Cherry St, Tulare, CA 93274-2207 | 2005-06-13 |
| 1801366711 | Adventist Health Tulare | General Acute Care Hospital | 869 N Cherry St, Tulare, CA 93274-2207 | 2018-12-04 |
| 1306327846 | Cep America - California | Emergency Medicine | 869 N Cherry St, Tulare, CA 93274-2207 | 2018-08-23 |
| 1255812889 | Galen Inpatient Physicians, Inc. | Internal Medicine | 869 N Cherry St, Tulare, CA 93274-2207 | 2018-08-22 |
| 1215447164 | Zenaida Rodriguez | Nurse Practitioner | 869 N Cherry St, Tulare, CA 93274-2207 | 2017-10-05 |
| 1215456017 | Ezequiel Gonzalez | Nurse Practitioner | 869 N Cherry St, Tulare, CA 93274-2207 | 2017-09-12 |
| 1871018481 | Robert E Smith Md, A Professional Corporation | Anesthesiology | 869 N Cherry St, Tulare, CA 93274-2207 | 2017-08-04 |
| 1043733827 | Dalila Kim | Nurse Practitioner | 869 N Cherry St, Tulare, CA 93274-2207 | 2017-07-24 |
| 1306390638 | Cretia Guzman | Nurse Practitioner | 869 N Cherry St, Tulare, CA 93274-2207 | 2016-08-03 |
| 1376997866 | Amandeep Singh Dhillon | Internal Medicine | 869 N Cherry St, Tulare, CA 93274 | 2016-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811545502 | Patricia A Akins | Technician | 212 E Gannon Drive, Tulare, CA 93274 | 2019-08-27 |
| 1851956312 | Britney Ann Graham | Behavior Technician | 160 N L St, Tulare, Ca 93274, Tulare, CA 93274 | 2019-05-09 |
| 1427517812 | Adventist Health Physicians Network | Internal Medicine | 951 E. Merritt Ave., Tulare, CA 93274 | 2019-03-15 |
| 1396230710 | Claudia Azucena Gomez | Specialist/Technologist | 6165 Avenue 240, Tulare, CA 93274 | 2018-06-27 |
| 1679009708 | California Medical Imaging Associates, Inc | Radiology | 875 E. Merritt Ave, Tulare, CA 93274 | 2017-05-10 |
| 1073997201 | Family Healthcare Network | Clinic/Center | 263 S. West Street, Tulare, CA 93274 | 2015-07-17 |
| 1598195059 | Antoinette Gutierrez | Counselor | 724 N. Ben Maddox Way, Visalia, CA 93274 | 2013-11-20 |
| 1538401419 | Alisa Louise Martin | Dentist | 952 N. Cherry St., Tulare, CA 93274 | 2013-03-19 |
| 1053651539 | Saekyu Oh D.m.d Dental Corp | Dentist | 1407 Hillman Street, Tulare, CA 93274 | 2013-02-21 |
| 1346507985 | David Augustine Castro | Counselor | 209 North N Street, Tulare, CA 93274 | 2012-04-20 |
| Find all providers in zip 93274 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023529484 | John Ya-li Wu | Physician Assistant | 2788 Trapper Springs Ave, Tulare, CA 93274-6261 | 2017-10-12 |
| 1184930174 | Jonathan Lawrence Machado | Physician Assistant | 651 N Enterprise St, Tulare, CA 93274-9760 | 2010-08-27 |
| 1124064829 | Juan Contreras | Physician Assistant | 922 N Cherry St, Suite B, Tulare, CA 93274-2210 | 2006-06-21 |
| 1427541085 | Abraham Wai Jyun Leung | Physician Assistant | 263 S West St, Tulare, CA 93274-3411 | 2018-06-08 |
| 1558758714 | Yolanda Magana-camacho | Physician Assistant | 1062 S K St, Tulare, CA 93274-6422 | 2015-04-24 |
| 1558515874 | Daniel P Flores | Physician Assistant | 869 N Cherry St, Tulare, CA 93274-2207 | 2008-11-13 |
| 1992850291 | Alma Ceja Corvera | Physician Assistant | 1101 N Cherry St, Tulare, CA 93274-2231 | 2007-01-24 |
| 1710072525 | Hung K Ngo | Physician Assistant | 1062 S K St, Tulare, CA 93274-6422 | 2006-10-04 |
| 1124064548 | Jed D. Grant | Physician Assistant | 869 North Cherry Street, Tulare, CA 93274-2287 | 2006-06-22 |
| 1598701914 | Brian G. Williams | Physician Assistant | 869 North Cherry Street, Tulare, CA 93274-2287 | 2006-06-22 |
| Find all providers in TULARE | ||||
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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.