Kevin T Kodama (NPI# 1750395828, PAC ID# 8123175916) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1750395828 |
| PAC ID by PECOS | 8123175916 |
| Professional Enrollment ID | I20090414000288 |
| Full Name | Kevin T Kodama |
| Organization Legal Name | COMMUNITY FOUNDATION MEDICAL GROUP |
| Address |
1187 E Herndon Ave Suite 101 Fresno CA 93720-3166 |
| Phone Number | 5594400450 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 0345406294 |
| Number of Group Practice Members | 447 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050060 | COMMUNITY REGIONAL MEDICAL CENTER |
| 050093 | SAINT AGNES MEDICAL CENTER |
| 050492 | CLOVIS COMMUNITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1187 E Herndon Ave, Suite 101, Fresno, CA 93720-3166 | 5594400450 | COMMUNITY FOUNDATION MEDICAL GROUP |
| Organization Legal Name | COMMUNITY FOUNDATION MEDICAL GROUP |
| Physicians | 488 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Muzo Wu | Internal Medicine | Community Foundation Medical Group | 7370 N Palm Ave, Suite 101, Fresno, CA 93711-5782 |
| Than Aung Htwe | Internal Medicine | Community Foundation Medical Group | 15 E Audubon Dr, Fresno, CA 93720-1542 |
| Nhat-long L Pham | Radiation Oncology | Community Foundation Medical Group | 785 N Medical Ctr Dr W, Suite 203, Clovis, CA 93611-6878 |
| Michael David Charles | Orthopedic Surgery | Community Foundation Medical Group | 7235 N 1st St, Suite 103, Fresno, CA 93720-2937 |
| Kathryne D Hitter | Nurse Practitioner | Community Foundation Medical Group | 45 River Park Place W, Suite 104, Fresna, CA 93720-1565 |
| Joshua Andrew May | Physician Assistant | Community Foundation Medical Group | 604 N Magnolia Ave, Suite 100, Clovis, CA 93611-9205 |
| Nicholas B Levine | Neurosurgery | Community Foundation Medical Group | 45 E River Park Pl W, Suite 104, Fresno, CA 93720-1565 |
| Pearl Ma | General Surgery | Community Foundation Medical Group | 205 E River Park Cir, Suite 460, Fresno, CA 93720-1585 |
| Jennifer O Vradenburg-haworth | Family Medicine | Community Foundation Medical Group | 1429 N Acacia Ave, Reedley, CA 93654-2102 |
| Emmy Agwu Oji | Podiatry | Community Foundation Medical Group | 7407 N Cedar Ave, Suite 101, Fresno, CA 93720-3839 |
| Street Address |
1187 E HERNDON AVE SUITE 101 |
| City | FRESNO |
| State | CA |
| Zip | 93720-3166 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandeep Singh Sekhon | Gastroenterology | Community Foundation Medical Group | 1187 E Herndon Ave, Suite 101, Fresno, CA 93720-3166 |
| Soo Y Kim | Gastroenterology | Community Foundation Medical Group | 1187 E Herndon Ave, Suite 101, Fresno, CA 93720-3166 |
| Daniel Ivan Hernandez | Obstetrics/gynecology | Valley Women's Healthcare Medical Group, Inc | 1187 E Herndon Ave, Harold Grooms and Daniel Hernandez Md, Fresno, CA 93720-3166 |
| Pradnya Mitroo | Gastroenterology | Community Foundation Medical Group | 1187 E Herndon Ave, Suite 101, Fresno, CA 93720-3166 |
| David A Palmore | Internal Medicine | 1187 E Herndon Ave, Suite 104, Fresno, CA 93720-3166 | |
| Abhishek Gulati | Gastroenterology | Community Foundation Medical Group | 1187 E Herndon Ave, Suite 101, Fresno, CA 93720-3166 |
| Gregory M Chernekoff | Nurse Practitioner | Community Foundation Medical Group | 1187 E Herndon Ave, Suite 101, Fresno, CA 93720-3166 |
| Patrick David Ginn | Gastroenterology | Community Foundation Medical Group | 1187 E Herndon Ave, Suite 101, Fresno, CA 93720-3166 |
| Harold F Grooms | Obstetrics/gynecology | Valley Women's Healthcare Medical Group, Inc | 1187 E Herndon Ave, Harold Grooms and Daniel Hernandez Md, Fresno, CA 93720-3166 |
| 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 | GASTROENTEROLOGY |
| City + Specialty | FRESNO + GASTROENTEROLOGY |
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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.