GAVIN LEE (NPI# 1760978290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760978290 |
| Entity Type | Individual |
| Full Name | GAVIN LEE |
| Practice Address |
7210 N Milburn Ave Ste 101 Fresno CA 93722-8449 |
| Mailing Address |
4773 Hazelnut Ave Seal Beach CA 90740-3016 |
| Practice Telephone | 5592245101 |
| Mailing Telephone | 5622963015 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E5623 | CA | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 975 Sereno Dr, Vallejo, CA 945892441 | 7076514071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023644424 | Gavin Lee | Physical Therapist | 23605 Ne 108th St, Vancouver, WA 98682-9549 | 2020-03-17 |
| 1265855753 | Gavin Lee | Pharmacist | 30019 Hawthorne Blvd, Palos Verdes Estates, CA 90275-5434 | 2014-02-04 |
| Street Address |
7210 N MILBURN AVE STE 101 |
| City | FRESNO |
| State | CA |
| Zip Code | 93722-8449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659375103 | Philip Edward Larkins | Podiatrist | 7210 N Milburn Ave Ste 101, Fresno, CA 93722 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
| 1205322047 | A Plus Home Health, Inc. | Home Health | 3455 W. Shaw Ave. # 107, Fresno (and Vicinity), CA 93722 | 2018-07-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| 1669981791 | Gabriela Miranda | Case Manager/Care Coordinator | 5467 N Carlsbad Ave, Fresno, CA 93722 | 2017-09-20 |
| 1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
| 1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
| 1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
| Find all providers in zip 93722 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508219569 | Frederick J Kruger Dpm Inc | Podiatrist | 530 E Herndon Ave Ste 104, Fresno, CA 93720-2990 | 2016-07-14 |
| 1205230646 | Limb Preservation Platform, Inc. | Podiatrist | 2550 Merced St, Fresno, CA 93721-1812 | 2014-10-14 |
| 1316251960 | Roy O. Kroeker, Dpm, Inc | Podiatrist | 7081 N Marks Ave 104 Pmb 358, Pmb 358, Fresno, CA 93711-0232 | 2010-08-05 |
| 1477735801 | Larry Scortt | Podiatrist | 5066 N Fresno St Ste 101, Fresno, CA 93710-7615 | 2007-11-27 |
| 1699732156 | Jagpreet Mukker | Podiatrist | 7210 N. Milburn Ave, # 101, Fresno, CA 93722-0222 | 2006-04-27 |
| 1417954447 | Frederick Julian Kruger | Podiatrist | 530 E. Herndon Avenue, Suite 104, Fresno, CA 93720-2990 | 2005-07-05 |
| 1912904376 | Anoosh Moadab | Podiatrist | 6115 N 1st St Ste 101, Fresno, CA 93710-5450 | 2005-06-30 |
| 1679579460 | Timothy Allen Vandyne | Podiatrist | 5777 N Fresno St, Suite 102, Fresno, CA 93710-6065 | 2005-06-26 |
| 1407392418 | Heel To Toe Clinic | Podiatrist | 5777 N Fresno St, Suite 102, Fresno, CA 93710-6065 | 2017-01-13 |
| 1497009682 | Claude M. Schutz, Dpm Inc. | Podiatrist | 1332 W Herndon Ave, Suite 100, Fresno, CA 93711-7118 | 2012-11-09 |
| 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.