DR. ROLAND BALUYOT MAWIS (NPI# 1821000266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821000266 |
| Entity Type | Individual |
| Full Name | DR. ROLAND BALUYOT MAWIS |
| Credential | MD |
| Practice Address |
12417 Fair Oaks Blvd Ste 600 Fair Oaks CA 95628-2500 |
| Practice Telephone | 9168634005 |
| Practice Fax Number | 9168634009 |
| Mailing Telephone | 9168634005 |
| Mailing Fax Number | 9168634009 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2011-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A90715 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 36113802 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
12417 FAIR OAKS BLVD STE 600 |
| City | FAIR OAKS |
| State | CA |
| Zip Code | 95628-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578127114 | Matthew Jeffrey Hawkins | Physician Assistant | 12417 Fair Oaks Blvd Ste 600, Fair Oaks, CA 95628-2500 | 2019-04-29 |
| 1225559883 | Tracey E Mercer-benson | Nurse Practitioner | 12417 Fair Oaks Blvd Ste 600, Fair Oaks, CA 95628-2500 | 2017-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103590 | Nora's Home Care, Inc | Assisted Living Facility | 5813 Kenneth Ave, Fair Oaks, CA 95628 | 2018-08-08 |
| 1124545512 | Shelby Matthews | Behavior Technician | 7712 Magnolia Ave, Fair Oaks, CA 95628 | 2017-08-25 |
| 1386166908 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. B, Fair Oaks, CA 95628 | 2017-07-14 |
| 1063934867 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. A, Fair Oaks, CA 95628 | 2017-07-13 |
| 1467986075 | Shelby Bryeans | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628 | 2017-04-20 |
| 1942698790 | Life Span Home, Inc | Home Health | 4041 Bridge Street, Fair Oaks, CA 95628 | 2015-01-02 |
| 1861808008 | Edward John Olson | Social Worker | 5213 Vista Del Oro Way, Fair Oaks, CA 95628 | 2014-07-09 |
| 1073924643 | Frank Gontarski | Dentist | 4363 Hazel Avenue, Suite 6, Fair Oaks, CA 95628 | 2014-05-16 |
| 1801232921 | Lisa Hitomi | Community Health Worker | 9915 Fair Oaks Blvd, Fair Oaks, CA 95628 | 2013-05-15 |
| 1972842375 | Nicole Diana Cable | Marriage & Family Therapist | 10217 Fair Oaks Blvd, Suite A, Fair Oaks, CA 95628 | 2013-02-05 |
| Find all providers in zip 95628 | ||||
| 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 |
|---|---|---|---|---|
| 1285249359 | First Access Medical, Inc. | Family Medicine | 5525 Dewey Dr Ste 106, Fair Oaks, CA 95628-3130 | 2020-09-15 |
| 1174872915 | Pw Singh Corporation | Family Medicine | 6608 Mercy Court, Suite C, Fair Oaks, CA 95628-3171 | 2012-09-07 |
| 1144547944 | Dean Walter Stoller | Family Medicine | 8133 Shangrila Dr, Fair Oaks, CA 95628-6028 | 2010-05-03 |
| 1851454813 | Gilberto Martinez | Family Medicine | 6600 Mercy Ct Ste 100, Fair Oaks, CA 95628-3154 | 2006-12-19 |
| 1770672230 | Marykelly Sutton | Family Medicine | 9801 Fair Oaks Blvd, Suite 300, Fair Oaks, CA 95628-7012 | 2006-10-12 |
| 1851316061 | Arthur Y Fong | Family Medicine | 6600 Mercy Court, Suite 240, Fair Oaks, CA 95628-3198 | 2006-07-12 |
| 1356313456 | Kevin Del Fujikawa | Family Medicine | 4944 Sunrise Blvd Ste H, Fair Oaks, CA 95628-4941 | 2006-02-02 |
| 1023638814 | Family Medicine and Ambulatory Care | Family Medicine | 6600 Mercy Ct Ste 100, Fair Oaks, CA 95628-3154 | 2020-04-21 |
| 1467996686 | Healthy Living Primary Care, Inc | Family Medicine | 11634 Fair Oaks Blvd, Fair Oaks, CA 95628-3771 | 2016-12-07 |
| 1629346242 | Sacramento Family Medical Center | Family Medicine | 12417 Fair Oaks Blvd, #600, Fair Oaks, CA 95628-2501 | 2011-12-09 |
| Find all providers in FAIR OAKS | ||||
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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.