1589 WEST SHAW AVE (NPI# 1760779797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760779797 |
| Entity Type | Organization |
| Organization Name | 1589 WEST SHAW AVE |
| Other Organization Name | J&J ENTERPRISE MEDICALTRANSPORTATION |
| Practice Address |
1589 W Shaw Ave Suite # 7 Fresno CA 93711-3500 |
| Mailing Address |
8936 E Herndon Ave Clovis CA 93619-9088 |
| Practice Telephone | 5592226300 |
| Practice Fax Number | 5592226301 |
| Mailing Telephone | 5592226300 |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-11-28 |
| Authorized Official Name | MISS ESIOHE JENNIFER IDONI (DIRECTOR) |
| Authorized Official Telephone | 5592226300 |
| Authorized Official Credential | AS |
| Is Organization Subpart | Y |
| Parent Organization Name | J&J ENTERPRISE MEDICAL TRANSPORTATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | ========= | CA | Transportation Services |
| Other Name | Type Code |
|---|---|
| J&J Enterprise MedicalTransportation | Doing Business As Name - Organization |
| Street Address |
1589 W SHAW AVE SUITE # 7 |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215069950 | John William Lott | Marriage & Family Therapist | 1589 W Shaw Ave, Suite 4, Fresno, CA 93711-3500 | 2007-03-09 |
| 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 | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214878 | M&m Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 6084 E Inyo St, Fresno, CA 93727-6068 | 2020-10-29 |
| 1144848359 | Willis & Co. Transport, LLC | Non-emergency Medical Transport (VAN) | 3010 Feather Green Trl, Fresno, TX 77545-7159 | 2020-07-14 |
| 1629615042 | On Point Management Care | Non-emergency Medical Transport (VAN) | 4944 E Clinton Way Ste 102, Fresno, CA 93727-1527 | 2019-12-04 |
| 1609419258 | Community Med Trans, Inc | Non-emergency Medical Transport (VAN) | 4220 N College Ave Apt A, Fresno, CA 93704-3863 | 2019-10-25 |
| 1629639844 | Legger Thomas Thompson Jr. | Non-emergency Medical Transport (VAN) | 2965 N Maroa Ave, Fresno, CA 93704-5608 | 2019-06-27 |
| 1932765500 | Gurpal Singh | Non-emergency Medical Transport (VAN) | 5868 E Mono St, Fresno, CA 93727-5574 | 2019-05-19 |
| 1407410368 | Maralik Ani LLC | Non-emergency Medical Transport (VAN) | 5100 N 6th St Ste 157, Fresno, CA 93710-7506 | 2019-04-26 |
| 1063971133 | Jennifer Marty | Non-emergency Medical Transport (VAN) | 2553 N Whittier Ave, Fresno, CA 93727-1462 | 2019-03-18 |
| 1578027520 | Eagle Medical Transportation Inc | Non-emergency Medical Transport (VAN) | 4733 W Spruce Ave, Fresno, CA 93722-3576 | 2019-01-24 |
| 1790259364 | On Call Medical Transportation | Non-emergency Medical Transport (VAN) | 4721 W Jennifer Ave Ste 21, Fresno, CA 93722-6441 | 2019-01-17 |
| Find all providers in FRESNO | ||||
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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.