MS. LYDIA MARIE VALLESILLAS


Address: 7300 N Fresno St, Fresno, CA 93720-2941
Phone: 5594484500

MS. LYDIA MARIE VALLESILLAS (NPI# 1942677489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942677489
Entity Type Individual
Full Name MS. LYDIA MARIE VALLESILLAS
Other Name MS. LYDIA MARIE GONZALES
Credential PA-C
Practice Address 7300 N Fresno St
Fresno
CA 93720-2941
Mailing Address Po Box 890741
Temecula
CA 92589-0741
Practice Telephone 5594484500
Mailing Telephone 9512259596
Mailing Fax Number 9512259596
Enumeration Date 2015-09-01
Last Update Date 2015-09-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 52345 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7300 N FRESNO ST
City FRESNO
State CA
Zip Code 93720-2941

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518948108 Sanjay Kumar Orthopaedic Surgery 7300 N Fresno St, Fresno, CA 93720-2941 2005-11-10
1306452776 Omar Hernandez Panuco Pharmacist 7300 N Fresno St, Fresno, CA 93720-2942 2020-09-21
1619582749 Geoffrey Ian Setiawan Ong Pharmacist 7300 N Fresno St, Fresno, CA 93720-2942 2020-09-15
1487268967 Juliet Regis Vista Clinical Nurse Specialist 7300 N Fresno St, Fresno, CA 93720-2942 2020-09-02
1497367452 Pouran Etezadi Dietitian, Registered 7300 N Fresno St, Fresno, CA 93720-2941 2020-08-20
1699390161 Monica D Gomez Speech-Language Pathologist 7300 N Fresno St, Fresno, CA 93720-2941 2020-06-10
1497395271 An Hong Pham Pharmacist 7300 N Fresno St, Fresno, CA 93720-2941 2020-01-09
1861033896 Krystal Pombo Registered Nurse 7300 N Fresno St, Fresno, CA 93720-2941 2019-10-01
1780157735 Britton John Ulmer Respiratory Therapist, Registered 7300 N Fresno St, Fresno, CA 93720-2941 2019-01-02
1346713336 Mijeong Kim Pharmacist 7300 N Fresno St, Fresno, CA 93720-2941 2019-01-02
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356951057 Sylvia Kim Hinton Physician Assistant 4085 N Peach Ave Apt 204, Fresno, CA 93727-8416 2020-08-06
1790300721 Cayla Marie Clark Physician Assistant 4523 N Sunnyside Ave, Fresno, CA 93727-7265 2020-06-16
1720601396 Cynthia Thompson Physician Assistant 699 E Portland Ave, Fresno, CA 93720-2114 2020-05-18
1679124507 Folawemimo Eve Oluwaseun Onigbinde Physician Assistant 1131 Noble Glen Dr, Fresno, TX 77545-9689 2019-09-23
1194380253 Edgar Ivan Mercado Physician Assistant 1350 O St Ste 202, Fresno, CA 93721-1828 2019-05-04
1255892683 Stephanie Tran Physician Assistant 6700 N 1st St Ste 131, Fresno, CA 93710-3947 2019-03-28
1942624473 Konducive Concepts Physician Assistant 4006 Dogwood Bough Ln, Fresno, TX 77545-7128 2014-02-04
1568891729 Robert Ginther Physician Assistant 1300 N Fresno St Ste 220, Fresno, CA 93703-3843 2013-11-07
1134472707 Isaac Gutierrez Physician Assistant 4105 W Swift Ave Ste 101, Fresno, CA 93722-6386 2012-10-19
1598033078 Omni Women's Health Medical Group Physician Assistant 3612 N. First St., Fresno, CA 93726 2011-12-12
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Competitor

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City FRESNO
Zip Code 93720

Improve Information

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Dataset Information

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.

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