DYNAMIC INTEGRATIVE HEALTH PC (NPI# 1821462904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821462904 |
| Entity Type | Organization |
| Organization Name | DYNAMIC INTEGRATIVE HEALTH PC |
| Practice Address |
1382 E Alluvial Ave Ste 106 Fresno CA 93720-2699 |
| Mailing Address |
1382 E Alluvial Ave Suite 106 Fresno CA 93720-2699 |
| Practice Telephone | 5594329700 |
| Practice Fax Number | 5594329701 |
| Mailing Telephone | 5594329700 |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2016-01-22 |
| Authorized Official Name | DR. CHRISTOPHER J LONG (BUSINESS PARTNER) |
| Authorized Official Telephone | 5594329700 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | DC32064 | Chiropractic Providers | |
| N | 111N00000X | Chiropractor | DC29486 | Chiropractic Providers | |
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208D00000X | General Practice | A32806 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1382 E ALLUVIAL AVE STE 106 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-2699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1447729439 | Z Family Health Clinic, Inc. | General Practice | 1095 E Shaw Ave Ste 200, Fresno, CA 93710-7813 | 2018-11-19 |
| 1013361393 | Abby Medical Associates, Inc. | General Practice | 311 N Abby St, Fresno, CA 93701-1906 | 2016-04-22 |
| 1558755181 | Parayno M D Inc | General Practice | 1410 Kern St, 102, Fresno, CA 93706-3322 | 2015-03-20 |
| 1548519549 | Jf Urgent Care Medical Clinics Inc | General Practice | 1359 N Fresno St Ste A, Fresno, CA 93703-3837 | 2012-09-05 |
| 1609125152 | Jf Urgent Care Medical Clinics Inc | General Practice | 5088 N Fresno St Ste A, Fresno, CA 93710-7611 | 2012-08-30 |
| 1891061693 | Elpidio Fonte | General Practice | 2210 E Illinois Ave Ste 201, Fresno, CA 93701-2184 | 2012-03-26 |
| 1346513736 | Allen Kimwo Mau | General Practice | 3976 No. Sherman St, Fresno, CA 93726 | 2012-02-15 |
| 1043513526 | Amor Fernando Md Inc | General Practice | 3766 N 1st St, Fresno, CA 93726-5601 | 2010-12-06 |
| 1912221748 | Eternity Health Care Inc | General Practice | 3742 N 1st St, Fresno, CA 93726-5601 | 2010-03-23 |
| 1295975274 | Central California Sleep Center | General Practice | 7770 N Fresno St Ste 101, Fresno, CA 93720-2412 | 2009-03-03 |
| 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.