Tu Q Depry (NPI# 1588625826, PAC ID# 4587555933) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1588625826 |
| PAC ID by PECOS | 4587555933 |
| Professional Enrollment ID | I20060404000336 |
| Full Name | Tu Q Depry |
| Organization Legal Name | DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA |
| Address |
2811 W California Ave Fresno CA 93706-2306 |
| Phone Number | 5594934221 |
| Gender | F |
| Credential | DO |
| Medical School | THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6507099520 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050492 | CLOVIS COMMUNITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2811 W California Ave, Fresno, CA 93706-2306 | 5594934221 | DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA |
| Organization Legal Name | DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Antonia B Gennock | Registered Dietitian Or Nutrition Professional | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| Laura B Brusett | Family Medicine | Department of Veterans Affairs of The State of California | 3400 Knighton Rd, Redding, CA 96002-9657 |
| Christine N Mativo | Registered Dietitian Or Nutrition Professional | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| Tikesha L Leslie-jones | Psychologist, Clinical | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| Catherine A Ludlow | Nurse Practitioner | Department of Veterans Affairs of The State of California | 3400 Knighton Rd, Redding, CA 96002-9657 |
| Francisco Salcedo | Internal Medicine | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| James B Vogus | Hospice/palliative Care | Department of Veterans Affairs of The State of California | 3400 Knighton Rd, Redding, CA 96002-9657 |
| Oliver K Olaivar | Nurse Practitioner | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| Michael Ray Mongold | Psychologist, Clinical | Department of Veterans Affairs of The State of California | 3400 Knighton Rd, Redding, CA 96002-9657 |
| Howard A Morley | General Practice | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| Street Address |
2811 W CALIFORNIA AVE |
| City | FRESNO |
| State | CA |
| Zip | 93706-2306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Antonia B Gennock | Registered Dietitian Or Nutrition Professional | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| Christine N Mativo | Registered Dietitian Or Nutrition Professional | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| Tikesha L Leslie-jones | Psychologist, Clinical | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| Francisco Salcedo | Internal Medicine | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| Oliver K Olaivar | Nurse Practitioner | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| Howard A Morley | General Practice | Department of Veterans Affairs of The State of California | 2811 W California Ave, Fresno, CA 93706-2306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurene Spencer | Internal Medicine | Baart Community Healthcare | 1235 E St, Fresno, CA 93706-2024 |
| Farhad S Mahjouri | Neurosurgery | Baart Community Healthcare | 1235 E St, Fresno, CA 93706-2024 |
| Geeta Ramesh | Family Medicine | Clinica Sierra Vista | 302 Fresno St, Suite 101, Fresno, CA 93706-3641 |
| John R Logan | Internal Medicine | Clinica Sierra Vista | 302 Fresno St, Suite 101, Fresno, CA 93706-3641 |
| Freddie L Hayes | General Practice | 302 Fresno St, Fresno, CA 93706-3641 | |
| Carol A Devito | Physician Assistant | American Current Care of California, A Medical Corporation | 2555 S E Ave, Fresno, CA 93706-5104 |
| Auther E Adams | Obstetrics/gynecology | Clinica Sierra Vista | 2760 S Elm Ave, Fresno, CA 93706-5435 |
| Artin Massihi | Emergency Medicine | Clinica Sierra Vista | 2740 S Elm Ave, Fresno, CA 93706-5435 |
| Linda M Hudson | Physician Assistant | Clinica Sierra Vista | 2740 S Elm Ave, Fresno, CA 93706-5435 |
| Nidia C Payan | Family Practice | Clinica Sierra Vista | 2740 S Elm Ave, Fresno, CA 93706-5435 |
| Find all physicians in zip 93706 | |||
| City | FRESNO |
| Zip Code | 93706 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FRESNO + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.