MEDEIROS MD PC (NPI# 1790341428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790341428 |
| Entity Type | Organization |
| Organization Name | MEDEIROS MD PC |
| Practice Address |
1303 E Herndon Ave Fresno CA 93720-3309 |
| Mailing Address |
4032 W Swanson Ave Caruthers CA 93609-9552 |
| Practice Telephone | 8000735292 |
| Mailing Telephone | 3042765547 |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-17 |
| Authorized Official Name | MR. MICHAEL ALAN MEDEIROS (CEO) |
| Authorized Official Telephone | 3042765547 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Medeiros MD PC | Doing Business As Name - Organization |
| Street Address |
1303 E HERNDON AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528066560 | Andreas E Heller | Internal Medicine | 1303 E Herndon Ave, Fresno, CA 93720-3309 | 2005-07-13 |
| 1700484680 | Glenda Sherry Peveto | Nurse Practitioner | 1303 E Herndon Ave, Fresno, CA 93720-3309 | 2020-10-13 |
| 1407466485 | Terry Louise George | Physical Therapy Assistant | 1303 E Herndon Ave, Fresno, CA 93720-3309 | 2020-08-05 |
| 1255956546 | Maria Cecilia Unay Paredes | Nurse Practitioner | 1303 E Herndon Ave, Fresno, CA 93720-3309 | 2020-06-11 |
| 1770112054 | Chinedu Nwagwu | Student in an Organized Health Care Education/Training Program | 1303 E Herndon Ave, Fresno, CA 93720-3309 | 2020-04-07 |
| 1629613393 | Drnat Corp | Internal Medicine | 1303 E Herndon Ave, Fresno, CA 93720-3309 | 2019-11-16 |
| 1568014561 | Garrett Douglas Hicks | Nurse Practitioner | 1303 E Herndon Ave, Fresno, CA 93720-3309 | 2019-07-10 |
| 1407416480 | Gagandeep Kaur Khara | Nurse Practitioner | 1303 E Herndon Ave, Fresno, CA 93720-3309 | 2019-06-20 |
| 1689232449 | Forefront Radiology Medical Group PC | Radiology | 1303 E Herndon Ave, Fresno, CA 93720-3309 | 2019-06-05 |
| 1568028009 | Rory Kielmeyer | Nurse Anesthetist, Certified Registered | 1303 E Herndon Ave, Fresno, CA 93720-3309 | 2019-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922649771 | Daniel Lewis Bluestone | Psychiatry & Neurology | 7370 N Palm Ave Ste 102, Fresno, CA 93711-5782 | 2019-10-03 |
| 1134493349 | Harvey L. Edmonds, M.d. Inc | Psychiatry & Neurology | 728 E Ballard Avenue, Suite 104, Fresno, CA 93710 | 2012-03-06 |
| 1912202128 | Melvin R. Helm, M.d., Inc. | Psychiatry & Neurology | 1865 E Alluvial Ave Ste 102, Fresno, CA 93720-3855 | 2011-01-19 |
| 1912239203 | Vickie A Walton Md Inc | Psychiatry & Neurology | 1313 E Herndon Ave Ste 205, Fresno, CA 93720-3306 | 2010-02-11 |
| 1548342157 | Harvey Lawrence Edmonds | Psychiatry & Neurology | 728 E Bullard Avenue, Suite 104, Fresno, CA 93710 | 2006-10-20 |
| 1013002328 | Perminder Bhatia | Psychiatry & Neurology | 736 E Bullard Ave, #101, Fresno, CA 93710 | 2006-10-03 |
| 1861423501 | Loren Ingrid Alving | Psychiatry & Neurology | 6137 N Thesta St, Suite 101b, Fresno, CA 93710-8605 | 2006-07-05 |
| 1912937186 | Alan M. Birnbaum | Psychiatry & Neurology | 1275 E Spruce Ave Ste 101, Fresno, CA 93720-3345 | 2006-07-04 |
| 1124076211 | Melvin R. Helm Jr. | Psychiatry & Neurology | 1865 E Alluvial Ave, Suite 102, Fresno, CA 93720-3855 | 2006-05-04 |
| 1740238856 | Mark M Stecker | Psychiatry & Neurology | 1558 E Shadow Creek Dr, Fresno, CA 93730-3536 | 2006-05-04 |
| 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.