MR. JACINTO RENATTO MEDINA (NPI# 1932112679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932112679 |
| Entity Type | Individual |
| Full Name | MR. JACINTO RENATTO MEDINA |
| Credential | MD |
| Practice Address |
2790 S Elm Ave Fresno CA 93706-5435 |
| Mailing Address |
1945 N Fine Street #116 Fresno CA 93727 |
| Practice Telephone | 5594575200 |
| Practice Fax Number | 5594575290 |
| Mailing Telephone | 5594575807 |
| Mailing Fax Number | 5594575896 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207N00000X | Dermatology | A25270 | CA | Allopathic & Osteopathic Physicians |
| X | 207R00000X | Internal Medicine | A25270 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2790 S ELM AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93706-5435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982656047 | Seqoia Community Health Foundation, Inc. | Clinic/Center | 2790 S Elm Ave, Fresno, CA 93706-5435 | 2006-05-17 |
| 1730318254 | Tamarrah D Oliver | Physician Assistant | 2790 S Elm Ave, Fresno, CA 93706-5435 | 2009-07-06 |
| 1609073584 | Virginia Sanchez | Social Worker | 2790 S Elm Ave, Fresno, CA 93706-5435 | 2007-07-02 |
| 1659581189 | Angel Ponce | Dietitian, Registered | 2790 S Elm Ave, Fresno, CA 93706-5435 | 2007-05-23 |
| 1972630325 | Sequoia Community Health Foundation, Inc | Clinic/Center | 2790 S Elm Ave, Fresno, CA 93706-5435 | 2007-02-27 |
| 1396872750 | Sequoia Community Health Foundation, Inc | Clinic/Center | 2790 S Elm Ave, Fresno, CA 93706-5435 | 2007-02-27 |
| 1205963667 | Sequoia Community Health Foundation, Inc | Clinic/Center | 2790 S Elm Ave, Fresno, CA 93706-5435 | 2007-02-27 |
| 1114054574 | Sequoia Community Health Foundation, Inc | Clinic/Center | 2790 S Elm Ave, Fresno, CA 93706-5435 | 2007-02-27 |
| 1568478469 | William Dixon | Physician Assistant | 2790 S Elm Ave, Fresno, CA 93706 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1821567538 | Misty Dawn Shepherd | Counselor | 2772 Martin L King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1497224125 | Jose Jimenez | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1023587730 | James John Pokorny IIi | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1932574225 | Brandi Leos | Counselor | 2772 Mlk Jr. Blvd, Fresno, CA 93706 | 2015-12-11 |
| 1174998199 | Jeremiah Hinojosa | Counselor | 2772 S M.l.k. Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| 1538534557 | Megan Mahoney | Counselor | 2772 S Martin Luther King Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| Find all providers in zip 93706 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831730514 | Amneet Kaur Brar | Dermatology | 7055 N Fresno St Ste 310, Fresno, CA 93720-2957 | 2019-10-03 |
| 1770059552 | Professional Medical Corporation | Dermatology | 1642 E Herndon Ave Ste 104, Fresno, CA 93720-3377 | 2018-10-18 |
| 1518233048 | Jane F. Kardashian, M.d., Inc. | Dermatology | 6769 N. Fresno Street, Fresno, CA 93710 | 2012-03-29 |
| 1134374465 | Cheri Lynne Ponce | Dermatology | 6181 N Thesta St Ste 104, Fresno, CA 93710-8604 | 2008-12-01 |
| 1144482373 | Edgar S. Macias | Dermatology | 7115 N Chestnut Ave Ste 101, Fresno, CA 93720-0361 | 2008-06-29 |
| 1528252038 | Irfan Rahman | Dermatology | 6065 N Fruit Ave, Suite 102, Fresno, CA 93710 | 2007-08-29 |
| 1982789467 | Catherine A. Hoffman Md, Inc. | Dermatology | 1374 East Alluvial Avenue, Fresno, CA 93720-2608 | 2006-10-25 |
| 1043313133 | Leslie Anne Storey | Dermatology | 7777 N. Ingram Ave., Fresno, CA 93711-6281 | 2006-09-06 |
| 1609985704 | Leah Press | Dermatology | 1340 W Herndon Ave Ste 101, Fresno, CA 93711-7180 | 2006-08-30 |
| 1104812452 | Kathleen L Behr | Dermatology | 1125 E Spruce Ave, #207, Fresno, CA 93720-3330 | 2005-09-22 |
| 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.