FLOYD BODDEN (NPI# 1811191687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811191687 |
| Entity Type | Individual |
| Full Name | FLOYD BODDEN |
| Credential | PA |
| Practice Address |
2823 Fresno Street Fresno CA 93721-1324 |
| Mailing Address |
155 N. Fresno Street Suite 206 Fresno CA 93701-2302 |
| Practice Telephone | 5594996439 |
| Practice Fax Number | 5594996441 |
| Mailing Telephone | 5594996443 |
| Mailing Fax Number | 5594996441 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2012-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA13593 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 999 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2823 FRESNO STREET |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538271374 | Bridget Nester Petrillo | Nurse Anesthetist, Certified Registered | 2823 Fresno Street, Fresno, CA 93721-1365 | 2006-08-31 |
| 1841840931 | Kelsea Chun | Nurse Anesthetist, Certified Registered | 2823 Fresno Street, Anesthesia Department, Fresno, CA 93721 | 2019-09-19 |
| 1184050882 | Kamala Basaula | Registered Nurse | 2823 Fresno Street, Fresno, CA 93721-1365 | 2013-09-25 |
| 1881931897 | Jay Isaac Tipton | Nurse Anesthetist, Certified Registered | 2823 Fresno Street, Fresno, CA 93721-1365 | 2013-01-10 |
| 1376891812 | Harlan M Husted | Pharmacist | 2823 Fresno Street, Community Regional Med Ctr - Inpatient Pharmacy, Fresno, CA 93715 | 2012-08-15 |
| 1275891368 | Ann W Vu | Pharmacist | 2823 Fresno Street, Fresno, CA 93721 | 2012-04-26 |
| 1548537780 | Ravinder Singh | Registered Nurse | 2823 Fresno Street, Fresno, CA 93721-1365 | 2011-11-16 |
| 1306120779 | Kevin Immarri Hickman | Nurse Anesthetist, Certified Registered | 2823 Fresno Street, Fresno, CA 93721-1365 | 2011-10-04 |
| 1821275942 | Karissa Anne Bouchie | Dietitian, Registered | 2823 Fresno Street, Community Regional Medical Center, Fresno, CA 93701 | 2008-01-31 |
| 1972784528 | Mary C Ghaffari | Pharmacist | 2823 Fresno Street, Crmc Pharmacy, Fresno, CA 93721-1324 | 2007-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
| 1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
| 1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
| 1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
| 1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
| 1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| Find all providers in zip 93721 | ||||
| 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 |
|---|---|---|---|---|
| 1356951057 | Sylvia Kim Hinton | Physician Assistant | 4085 N Peach Ave Apt 204, Fresno, CA 93727-8416 | 2020-08-06 |
| 1790300721 | Cayla Marie Clark | Physician Assistant | 4523 N Sunnyside Ave, Fresno, CA 93727-7265 | 2020-06-16 |
| 1720601396 | Cynthia Thompson | Physician Assistant | 699 E Portland Ave, Fresno, CA 93720-2114 | 2020-05-18 |
| 1679124507 | Folawemimo Eve Oluwaseun Onigbinde | Physician Assistant | 1131 Noble Glen Dr, Fresno, TX 77545-9689 | 2019-09-23 |
| 1194380253 | Edgar Ivan Mercado | Physician Assistant | 1350 O St Ste 202, Fresno, CA 93721-1828 | 2019-05-04 |
| 1255892683 | Stephanie Tran | Physician Assistant | 6700 N 1st St Ste 131, Fresno, CA 93710-3947 | 2019-03-28 |
| 1942624473 | Konducive Concepts | Physician Assistant | 4006 Dogwood Bough Ln, Fresno, TX 77545-7128 | 2014-02-04 |
| 1568891729 | Robert Ginther | Physician Assistant | 1300 N Fresno St Ste 220, Fresno, CA 93703-3843 | 2013-11-07 |
| 1134472707 | Isaac Gutierrez | Physician Assistant | 4105 W Swift Ave Ste 101, Fresno, CA 93722-6386 | 2012-10-19 |
| 1598033078 | Omni Women's Health Medical Group | Physician Assistant | 3612 N. First St., Fresno, CA 93726 | 2011-12-12 |
| 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.