Jesse Zane Kellar (NPI# 1861717548, PAC ID# 6103050166) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1861717548 |
| PAC ID by PECOS | 6103050166 |
| Professional Enrollment ID | I20190709002087 |
| Full Name | Jesse Zane Kellar |
| Organization Legal Name | CEP AMERICA - CALIFORNIA |
| Address |
1303 E Herndon Ave Fresno CA 93720-3309 |
| Phone Number | 5594503000 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 6103739131 |
| Number of Group Practice Members | 801 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050093 | SAINT AGNES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1303 E Herndon Ave, Fresno, CA 93720-3309 | 5594503000 | CEP AMERICA - CALIFORNIA |
| Organization Legal Name | CEP AMERICA - CALIFORNIA |
| Physicians | 891 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia S Gee | Emergency Medicine | Cep America - California | 6501 Coyle Ave, Carmichael, CA 95608-0306 |
| Michelle Denise Septer | Nurse Practitioner | Cep America - California | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| Vincent H Lam | Physician Assistant | Cep America - California | 1600 N Roase Ave, Oxnard, CA 93030-3722 |
| Christine H Chang | Emergency Medicine | Cep America - California | 2309 Antonio Ave, Camarillo, CA 93010-1414 |
| Erik Akopian | Emergency Medicine | Cep America - California | 207 W Legion Rd, Brawley, CA 92227-7780 |
| Jon Ryan Haynes | Emergency Medicine | Cep America - California | 726 4th St, Marysville, CA 95901-5656 |
| Ramandeep Dhillon | Emergency Medicine | Cep America - California | 18300 Us Hwy 18, Apple Valley, CA 92307-2206 |
| Christopher A Rafie | Emergency Medicine | Cep America - California | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 |
| Michael Fargusson | Emergency Medicine | Cep America - California | 4001 J St, Sacramento, CA 95819-3626 |
| Matthew Mehne | Emergency Medicine | Cep America - California | 27300 Iris Ave, Moreno Valley, CA 92555-4802 |
| Street Address |
1303 E HERNDON AVE |
| City | FRESNO |
| State | CA |
| Zip | 93720-3309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Denise Septer | Nurse Practitioner | Cep America - California | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| Chinnapa R Nareddy | Hospitalist | Saint Agnes Medical Center | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| James Simmons | Hospitalist | Galen Inpatient Physicians Inc | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| Geralyn Alyssa Roberson | Nurse Practitioner | Cep America - California | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| Joshua Lin | Hospitalist | Vituity Hospitalists PC | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| Jonathan Caldwell | Emergency Medicine | Saint Agnes Medical Center | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| Benjamin Pruett | Interventional Radiology | Wishon Radiological Medical Group Inc | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| Venkataramana K Reddy | Hospitalist | Galen Inpatient Physicians Inc | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| John P Phillips | Emergency Medicine | Saint Agnes Medical Center | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| Camie J Sorensen | Emergency Medicine | Saint Agnes Medical Center | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry A Gillian | Plastic and Reconstructive Surgery | 1193 E Herndon, Suite 106, Fresno, CA 93720 | |
| Hongshik Han | Plastic and Reconstructive Surgery | 7005 N Maple, Suite 107, Fresno, CA 93720 | |
| Mari Jo Hanson | Physician Assistant | Urology Associates of Central California Med Grp, Inc | 7014 N Whitney, Fresno, CA 93720-0153 |
| Berhane Mebratu | Nurse Practitioner | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| Yuk-yuen M Leung | Urology | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| Steven M Kurtzman | Radiation Oncology | Western Radiation Oncology Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| Peter J Garcia | Nurse Practitioner | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| Kuldip J Behniwal | Urology | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| John C Julian | Urology | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| William M Schiff | Urology | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| Find all physicians in zip 93720 | |||
| City | FRESNO |
| Zip Code | 93720 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | FRESNO + EMERGENCY 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.