DR. ANOOSH MOADAB (NPI# 1912904376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912904376 |
| Entity Type | Individual |
| Full Name | DR. ANOOSH MOADAB |
| Credential | D.P.M. |
| Practice Address |
6115 N 1st St Ste 101 Fresno CA 93710-5450 |
| Practice Telephone | 5594361213 |
| Practice Fax Number | 5594364202 |
| Mailing Telephone | 5594361213 |
| Mailing Fax Number | 5594364202 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2012-04-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E4514 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E45140 | 05 | |
| CA | BLUE SHIELD | 00E45140 | 01 |
| DEPARTMENT OF LABOR | 611685600 | 01 | |
| CA | BLUE CROSS | E45140 | 01 |
| Street Address |
6115 N 1ST ST STE 101 |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-5450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508219569 | Frederick J Kruger Dpm Inc | Podiatrist | 530 E Herndon Ave Ste 104, Fresno, CA 93720-2990 | 2016-07-14 |
| 1205230646 | Limb Preservation Platform, Inc. | Podiatrist | 2550 Merced St, Fresno, CA 93721-1812 | 2014-10-14 |
| 1316251960 | Roy O. Kroeker, Dpm, Inc | Podiatrist | 7081 N Marks Ave 104 Pmb 358, Pmb 358, Fresno, CA 93711-0232 | 2010-08-05 |
| 1477735801 | Larry Scortt | Podiatrist | 5066 N Fresno St Ste 101, Fresno, CA 93710-7615 | 2007-11-27 |
| 1699732156 | Jagpreet Mukker | Podiatrist | 7210 N. Milburn Ave, # 101, Fresno, CA 93722-0222 | 2006-04-27 |
| 1417954447 | Frederick Julian Kruger | Podiatrist | 530 E. Herndon Avenue, Suite 104, Fresno, CA 93720-2990 | 2005-07-05 |
| 1679579460 | Timothy Allen Vandyne | Podiatrist | 5777 N Fresno St, Suite 102, Fresno, CA 93710-6065 | 2005-06-26 |
| 1760978290 | Gavin Lee | Podiatrist | 7210 N Milburn Ave Ste 101, Fresno, CA 93722-8449 | 2018-07-09 |
| 1407392418 | Heel To Toe Clinic | Podiatrist | 5777 N Fresno St, Suite 102, Fresno, CA 93710-6065 | 2017-01-13 |
| 1497009682 | Claude M. Schutz, Dpm Inc. | Podiatrist | 1332 W Herndon Ave, Suite 100, Fresno, CA 93711-7118 | 2012-11-09 |
| 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.