MR. JOHN ERICKSON (NPI# 1821079310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821079310 |
| Entity Type | Individual |
| Full Name | MR. JOHN ERICKSON |
| Credential | M.D. |
| Practice Address |
275 W Herndon Ave Clovis CA 93612-0204 |
| Mailing Address |
Po Box 28949 Fresno CA 93729-8949 |
| Practice Telephone | 5593246200 |
| Practice Fax Number | 5593246280 |
| Mailing Telephone | 5592284200 |
| Mailing Fax Number | 5592243920 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2020-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G55499 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | 110125074 | 01 |
| CA | BLUE CROSS/BLUE SHIELD | 00G554990 | 01 |
| CA | 00G554990 | 05 | |
| CA | CHAMPUS | 77040368493612B011 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205216223 | John Joseph Erickson | Pediatrics | 3333 Burnet Ave Fl 11580af, Cincinnati, OH 45229-3026 | 2015-06-04 |
| 1003026972 | John Bernard Erickson | Dentist | 206 S. Main St., Venus, TX 76084-3325 | 2007-05-22 |
| 1184844888 | John Arthur Erickson | Dentist | 210 West Broadway, Monticello, MN 55362-0969 | 2007-04-26 |
| 1265094049 | John Walter Erickson V | Pharmacist | 865 Central Ave, Dover, NH 03820-2506 | 2019-07-02 |
| 1285056234 | John Erickson | Nurse Practitioner | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2014-01-10 |
| 1336589662 | John G Erickson | Podiatrist | 1415 Woodland Ave, Suite 140, Des Moines, IA 50309-3203 | 2013-07-01 |
| 1225379456 | John Brien Erickson | Orthopaedic Surgery | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2013-03-13 |
| 1144584160 | John Erickson | Optometrist | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2012-06-25 |
| 1528346962 | John Erickson | Orthopaedic Surgery | 550 Central Ave Ste 500, New Providence, NJ 07974 | 2011-08-03 |
| 1134424286 | John Erickson | Chiropractor | 1660 S Albion St, Suite 223, Denver, CO 80222-4008 | 2011-01-21 |
| Street Address |
275 W HERNDON AVE |
| City | CLOVIS |
| State | CA |
| Zip Code | 93612-0204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194716563 | Jennifer Kristin Nay | Physician Assistant | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2005-11-03 |
| 1548740459 | Sia Lee | Nurse Practitioner | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2018-08-20 |
| 1912369927 | Jesse Adam Alifano | Pediatrics | 275 W Herndon Ave, Clovis, CA 93612 | 2016-03-28 |
| 1952760308 | Clovis Dermatology, Inc | Clinic/Center | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2016-02-14 |
| 1083093975 | Joyalene Onn Lin Ng Hiersche | Nurse Practitioner | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2015-05-25 |
| 1164857058 | Victor O Gunn | Physician Assistant | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2013-09-10 |
| 1649510330 | Krystal Fosse | Nurse Practitioner | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2013-02-18 |
| 1619215837 | Amitasha Mann | Internal Medicine | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2013-01-23 |
| 1457656225 | Peachwood Aesthetic Skincare Center Inc. | Dermatology | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2011-01-25 |
| 1699933952 | Harjagjit Singh Maan | Family Medicine | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2008-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235778002 | Prieto Dental Corporation | Dentist | 2320 Clovis Avenue, Suite 102, Clovis, CA 93612 | 2019-12-27 |
| 1285190827 | Natividad Casillas | Behavior Technician | 20 N Dewitt, Clovis, CA 93612 | 2019-02-19 |
| 1922578988 | Benjamin Harold Davis Jr. | Behavior Technician | Swans Consulting, 20 N Dewitt Ave, Clovis, CA 93612 | 2018-12-03 |
| 1134620651 | Innovative Development & Living Solutions of California | Assisted Living Facility | 32 West Sierra Ave, Clovis, CA 93612 | 2018-02-21 |
| 1427578616 | Mariamajane Sengsiri | Licensed Vocational Nurse | 1244 Estabrook Ave., Clovis, CA 93612 | 2017-06-20 |
| 1417482464 | Tiffanie Guy | Pharmacist | 2810 Willow Ave Apt 206, Clovis, CA 93612 | 2017-04-27 |
| 1194271833 | Daniel Salinas | Specialist/Technologist | 1712 Harvard Ave., Clovis, CA 93612 | 2016-09-01 |
| 1386071447 | Darra Hirsh | Psychologist | 334 Shaw Ave Ste 100, Clovis, CA 93612 | 2013-10-03 |
| 1437400793 | Bashful Elephant | Counselor | 3097 Willow Suite 4, Clovis, CA 93612 | 2012-09-27 |
| 1588930432 | Nghiem Gia Vu | Pharmacist | 695 W Herdn Ave, Clovis, CA 93612 | 2012-03-26 |
| Find all providers in zip 93612 | ||||
| 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 |
|---|---|---|---|---|
| 1225660871 | Mercy Seyi Ayodele | Family Medicine | 55 Shaw Ave Ste 207, Clovis, CA 93612-3819 | 2020-02-11 |
| 1932671005 | Jennifer Lynn Marmolejo | Family Medicine | 2552 Richert Ave, Clovis, CA 93611-6014 | 2018-12-29 |
| 1396210563 | Green Sports Medicine Inc | Family Medicine | 2021 Herndon Ave Ste 201, Clovis, CA 93611-6101 | 2018-10-03 |
| 1023429412 | Nadia Javaid | Family Medicine | 2006 Shaw Ave Ste 101, Clovis, CA 93611-4192 | 2014-05-19 |
| 1821371022 | Erick Joseph Green Jr. | Family Medicine | 2021 Herndon Ave # 101, Clovis, CA 93611-6101 | 2011-09-23 |
| 1760667133 | Larry Lowry | Family Medicine | 208 Sandzen Dr, Clovis, NM 88101-2310 | 2008-01-04 |
| 1265620728 | Gurdaver Singh Dhaliwal | Family Medicine | 1555 Shaw Ave, Ste 101, Clovis, CA 93611-4096 | 2007-10-10 |
| 1225250087 | G&j Roth Prof Corp. | Family Medicine | 255 W Bullard Ave Ste 102, Clovis, CA 93612-0861 | 2007-05-02 |
| 1023231057 | Meenakshi Dhingra | Family Medicine | 2740 Herndon Ave, Clovis, CA 93611-6813 | 2007-04-10 |
| 1588789788 | Anthony W Montana | Family Medicine | 688 Medical Center Dr E Ste 104, Clovis, CA 93611-6807 | 2007-03-20 |
| Find all providers in CLOVIS | ||||
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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.