| Amy Evans, | |
|
275 W Herndon Ave, Clovis, CA 93612-0204 | |
| (559) 432-4620 | |
| (559) 324-6280 |
| Full Name | Amy Evans |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 275 W Herndon Ave, Clovis, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407965155 | NPI | - | NPPES |
| 00G864260 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | G86426 (California) | Primary |
| Entity Name | Dominic Dizon Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023669942 PECOS PAC ID: 4587101241 Enrollment ID: O20240731001730 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Evans, 887 E Portsmouth Dr, Fresno, CA 93720-0611 Ph: (559) 434-8861 | Amy Evans, 275 W Herndon Ave, Clovis, CA 93612-0204 Ph: (559) 432-4620 |
Dr. Dianne Hubbard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 275 W Herndon Ave, Clovis, CA 93612 Phone: 559-324-6200 Fax: 559-324-6280 | |
Elizabeth Ashley Black, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 726 N Medical Center Dr E Ste 209, Clovis, CA 93611 Phone: 559-325-5656 Fax: 559-325-5568 | |
Dr. Merle Martin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 275 W Herndon Ave, Clovis, CA 93612 Phone: 559-324-6200 Fax: 559-324-6280 | |
Manish Babaji Malkar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 726 N Medical Center Dr E Ste 209, Clovis, CA 93611 Phone: 559-325-5568 Fax: 559-325-5656 | |
Norma E. Figueroa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2071 Herndon Ave, Clovis, CA 93611 Phone: 559-324-5100 | |
Dr. Menouchehr Bazyani, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2497 Herndon Ave, Clovis, CA 93611 Phone: 800-492-4227 | |
John Moua, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 726 N Medical Center Dr E Ste 209, Clovis, CA 93611 Phone: 559-325-5656 Fax: 559-325-5568 |