LYDIA HERRERA-MATA (NPI# 1811900558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811900558 |
| Entity Type | Individual |
| Full Name | LYDIA HERRERA-MATA |
| Other Name | LYDIA HERRERA |
| Practice Address |
2823 Fresno St Fresno CA 93721-1324 |
| Mailing Address |
2625 E Divisadero St Fresno CA 93721-1431 |
| Practice Telephone | 5594996450 |
| Mailing Telephone | 5594432682 |
| Mailing Fax Number | 5594432681 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A75245 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1041 Rose Ave, Selma, CA 936623240 | 5598916345 | 5598916346 |
| Street Address |
2823 FRESNO ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073502449 | Catherine C Thaxter | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2005-10-19 |
| 1558973362 | Craig M Peek | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-08-21 |
| 1336759513 | James M Nguyen | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-08-03 |
| 1205445715 | Mckinsey Holthaus | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-07-30 |
| 1285257063 | Blake Phillip Dreihaus | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-27 |
| 1639792831 | Surpreme Health | Internal Medicine | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-21 |
| 1588286439 | Haylee Degrood | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-14 |
| 1710509013 | Katherine Marie Pate | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-11 |
| 1154941011 | Kylie Wermund | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-04-21 |
| 1326674292 | Amritpal Singh Padda | Nurse Practitioner | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-03-22 |
| 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 | 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 |
|---|---|---|---|---|
| 1912516253 | Lindsay Jackson-tito | Family Medicine | 3066 E Tenaya Way, Fresno, CA 93710-5944 | 2020-07-22 |
| 1982223228 | California Surgical Medical Clinics Inc. | Family Medicine | 1050 E Perrin Ave Ste 103, Fresno, CA 93720-5032 | 2020-04-15 |
| 1851925192 | One On One Medical Care | Family Medicine | 5468 W Athens Ave, Fresno, CA 93722-2100 | 2020-02-25 |
| 1760021380 | Kawana Idali Chester | Family Medicine | 5765 N Fresno St Ste 105, Fresno, CA 93710-6092 | 2019-12-30 |
| 1356860332 | Molly Alreichan Bachir | Family Medicine | 9526 N Winery Ave, Fresno, CA 93720-4600 | 2017-09-11 |
| 1568991990 | Kevin Kaleka | Family Medicine | 1110 N Blackstone Ave, Fresno, CA 93701-1016 | 2017-06-08 |
| 1326495078 | Nirpaul Singh Bains | Family Medicine | 3875 W Beechwood Ave, Fresno, CA 93711-0795 | 2016-05-23 |
| 1497147664 | Bautista Medical Group Inc | Family Medicine | 5339 E Kings Canyon Rd, Fresno, CA 93727-4527 | 2015-02-25 |
| 1548673239 | Cara Mcananey | Family Medicine | 290 N Wayte Ln Ste 1800, Fresno, CA 93701-2124 | 2014-06-10 |
| 1861805814 | John Ted Djabrayan | Family Medicine | 4711 W Ashlan Ave, Fresno, CA 93722-4307 | 2014-06-07 |
| 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.