BOAZ OVADIA (NPI# 1952436289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952436289 |
| Entity Type | Individual |
| Full Name | BOAZ OVADIA |
| Credential | M.D. |
| Practice Address |
7060 N Recreation Ave Suite 101 Fresno CA 93720-8022 |
| Mailing Address |
2625 E Divisadero St Fresno CA 93721-1431 |
| Practice Telephone | 5593255656 |
| Practice Fax Number | 5593255568 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2016-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
105369- TEMP | MN | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
ME104618 | FL | Allopathic & Osteopathic Physicians |
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
A92477 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | BV993Z | 01 |
| FL | 001125800 | 05 |
| Street Address |
7060 N RECREATION AVE SUITE 101 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-8022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427025675 | Michael E. Dunham | Otolaryngology | 7060 N Recreation Ave, Suite 101, Fresno, CA 93720-8022 | 2006-03-07 |
| 1902439789 | Family Healthcare Network | Clinic/Center | 7060 N Recreation Ave, Fresno, CA 93720-8022 | 2020-02-19 |
| 1225413636 | Lauren Perry | Nurse Practitioner | 7060 N Recreation Ave, Suite 104, Fresno, CA 93720-8022 | 2015-07-27 |
| 1023398211 | Erin Irving Noyes | Nurse Practitioner | 7060 N Recreation Ave, Fresno, CA 93720-2184 | 2011-08-19 |
| 1891941068 | Cynthia Donelle Myers | Pediatrics | 7060 N Recreation Ave, Suite 101, Fresno, CA 93720-8022 | 2008-08-07 |
| 1295891554 | Unilab Corporation | Clinical Medical Laboratory | 7060 N Recreation Ave, Ste 106, Fresno, CA 93720-8022 | 2006-12-29 |
| 1730244989 | Vicki Lynn Pease | Registered Nurse | 7060 N Recreation Ave, 101, Fresno, CA 93720-8022 | 2006-12-27 |
| 1831134899 | Daniel Evan Swartz | Specialist | 7060 N Recreation Ave, Suite 101, Fresno, CA 93720-8022 | 2006-06-16 |
| 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 | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023367422 | Batool Alsheikh | Pediatrics | 6235 N Fresno St Ste 103, Fresno, CA 93710 | 2012-08-31 |
| 1538242045 | Thianchai Bunnalai | Pediatrics | 2823 Fresno St, Fresno, CA 93721-1324 | 2006-10-20 |
| 1184719148 | Robert Dimand | Pediatrics | 6235 N Fresno St, Suite # 103, Fresno, CA 93710-5269 | 2006-10-04 |
| 1821183773 | Adam Holmes | Pediatrics | 6235 N Fresno St, Suite # 103, Fresno, CA 93710-5269 | 2006-10-04 |
| 1427143270 | Alicia Herrera | Pediatrics | 6235 N Fresno St, Suite # 103, Fresno, CA 93710-5269 | 2006-10-04 |
| 1134214901 | Harry Kallas | Pediatrics | 6235 N Fresno St, Suite # 103, Fresno, CA 93710-5269 | 2006-10-04 |
| 1639264385 | Jorge Montes | Pediatrics | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2006-10-04 |
| 1053406850 | Samuel Lehman | Pediatrics | 6235 N Fresno St, Suite # 103, Fresno, CA 93710-5269 | 2006-10-04 |
| 1053322784 | Kathleen Marie Murphy | Pediatrics | 6235 N Fresno St, Suite # 103, Fresno, CA 93710-5269 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417368804 | Sara Aghamohammadi | Pediatrics | 4650 W Sunset Blvd # Ms 3, Los Angeles, CA 90027-6062 | 2014-05-19 |
| 1699093880 | Richard P Lion | Pediatrics | 11234 Anderson St Rm 5763, Loma Linda, CA 92354-2804 | 2010-05-12 |
| 1558505719 | Ryan Richard Taylor | Pediatrics | Mattel Childrens Hospital At Ucla, 10833 Le Conte Ave., 12-494, Mdcc, Los Angeles, CA 90095-0001 | 2009-04-30 |
| 1871737270 | Shan Lyn Ward | Pediatrics | 3333 California St # S110, San Francisco, CA 94118-1981 | 2009-04-29 |
| 1932341641 | Anas Al Kawass | Pediatrics | 17100 Euclid Street, Picu, Fountain Valley, CA 92708 | 2009-03-26 |
| 1497996649 | Andreas Schwingshackl | Pediatrics | Rrmc 400 Westwood Blvd, Los Angeles, CA 90095-2113 | 2009-03-18 |
| 1588804801 | Carol Elizabeth Nicholson | Pediatrics | 6461 Zuma View Pl, #149, Malibu, CA 90265-4495 | 2009-02-26 |
| 1831355320 | Niveditha Vilasagar | Pediatrics | 4867 W Sunset Blvd Fl 5, Los Angeles, CA 90027-5969 | 2008-08-04 |
| 1154519072 | Eloa S. Adams | Pediatrics | 275 W Macarthu, Oakland, CA 94611-5641 | 2007-10-04 |
| 1770787046 | Samer Yousfi | Pediatrics | 1000 Carson Street, Harbor-ucla Medical Center, Torrance, CA 90509 | 2007-06-12 |
| Find all providers with the same taxonomy | ||||
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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.