FRED A. NORMAN (NPI# 1790863504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790863504 |
| Entity Type | Individual |
| Full Name | FRED A. NORMAN |
| Credential | MD |
| Practice Address |
7373 West Ln Stockton CA 95210-3377 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 2094762000 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G45807 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G458070 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346365541 | Fred Paul Norman | General Practice | 7751 N Kings Hwy, Suite A, Myrtle Beach, SC 29572-3005 | 2007-03-20 |
| Street Address |
7373 WEST LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-3377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720144 | Blaine Christopher Van Ausdeln | Nurse Practitioner | 7373 West Ln, Stockton, CA 95210-3377 | 2005-06-16 |
| 1093314296 | Kim Aristizabal | Respiratory Therapist, Certified | 7373 West Ln, Stockton, CA 95210-3377 | 2020-10-20 |
| 1124632781 | Jovana Danielle Mercado | Pharmacist | 7373 West Ln, Stockton, CA 95210-3377 | 2020-09-01 |
| 1396356473 | Sophia Han | Physical Therapist | 7373 West Ln, Stockton, CA 95210-3377 | 2020-08-12 |
| 1639797962 | Jill Epperson | Respiratory Therapist, Registered | 7373 West Ln, Stockton, CA 95210-3377 | 2020-07-13 |
| 1508407453 | Emilee Kay Hansen | Marriage & Family Therapist | 7373 West Ln, Stockton, CA 95210-3377 | 2019-10-02 |
| 1972155968 | Kathy Quach | Pharmacist | 7373 West Ln, Stockton, CA 95210-3377 | 2019-07-10 |
| 1669930350 | Nishant Deo | Pharmacist | 7373 West Ln, Stockton, CA 95210-3377 | 2019-03-12 |
| 1366909376 | Bridgett Denise Smith | Respiratory Therapist, Registered | 7373 West Ln, Stockton, CA 95210-3377 | 2019-02-26 |
| 1124501994 | Kathryn E Deamer | Physical Therapist | 7373 West Ln, Stockton, CA 95210-3377 | 2018-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669081337 | Jagjiwan Kaur Dhatt | Family Medicine | 2426 Swainsons Hawk St, Stockton, CA 95209-4281 | 2020-07-28 |
| 1114167764 | Harshjit Singh | Family Medicine | 7373 West Ln Ste 360, Stockton, CA 95210-3377 | 2009-02-23 |
| 1598928822 | Samira Chaudhry Jahangiri | Family Medicine | 3132 W. March Ln, Stockton, CA 95219 | 2008-07-07 |
| 1316116890 | Rami Georgies | Family Medicine | 8001 Lorraine Ave, Stockton, CA 95210 | 2008-02-28 |
| 1245443654 | Kulendu Ghanshyam Vasavda | Family Medicine | 221 Tuxedo Ct, Suite C, Stockton, CA 95204-5261 | 2007-05-08 |
| 1306990015 | Sierra Occupational Services | Family Medicine | 1429 W Fremont St, Stockton, CA 95203-2627 | 2007-01-22 |
| 1720136138 | Elvis Akpene Tanson | Family Medicine | 4873 West Ln Ste A, Stockton, CA 95210-4548 | 2007-01-08 |
| 1679660088 | Timothy L. H. Yeh | Family Medicine | 1801 E March Ln Ste D460, Stockton, CA 95210-6629 | 2006-10-06 |
| 1386730737 | Timothy Mccarty Coats | Family Medicine | 545 E Cleveland St Ste A, Stockton, CA 95204-5535 | 2006-10-05 |
| 1598876716 | San Tso | Family Medicine | 77 W March Ln, Suite A, Stockton, CA 95207-5723 | 2006-08-31 |
| Find all providers in STOCKTON | ||||
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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.