| Dr Lauro Yap Roberto, MD | |
|
7471 N Fresno St, Fresno, CA 93720-2457 | |
| (559) 436-4500 | |
| (559) 261-1526 |
| Full Name | Dr Lauro Yap Roberto |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Pulmonology |
| Location | 7471 N Fresno St, Fresno, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194878512 | NPI | - | NPPES |
| 00A494210 | Other | CA | RENDERING PROVIDER NUMBER |
| ZZZ21572Z | Other | GROUP PTAN | |
| 770208441 | Other | GROUP TAX ID | |
| GR0043790 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0214X | Pediatrics - Pediatric Pulmonology | A049421 (California) | Primary |
| 207KA0200X | Allergy & Immunology - Allergy | A49421 (California) | Secondary |
| Entity Name | Baz Allergy Asthma & Sinus Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710906995 PECOS PAC ID: 6507770716 Enrollment ID: O20031112000791 |
| Entity Name | Valley Childrens Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437555265 PECOS PAC ID: 9032439336 Enrollment ID: O20150528001593 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lauro Yap Roberto, MD 7471 N Fresno St, Fresno, CA 93720-2457 Ph: (559) 436-4500 | Dr Lauro Yap Roberto, MD 7471 N Fresno St, Fresno, CA 93720-2457 Ph: (559) 436-4500 |
Wilfred Derksen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1570 E Herndon Ave, Fresno, CA 93720 Phone: 559-437-7300 Fax: 559-437-7153 | |
Dr. Jean Rankin Butterfield, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2719 N Air Fresno Dr, Fresno, CA 93727 Phone: 559-600-8918 | |
Dr. Mary A Gonzalez-howard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4770 W Herndon Ave, Suite 108, Fresno, CA 93722 Phone: 559-256-7990 Fax: 559-256-7991 | |
Nilufer Raj Goyal-shockley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7300 N Fresno St, Fresno, CA 93720 Phone: 559-448-4500 | |
Dr. Nitika Narinder Dhir, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 155 N Fresno St, Ste 326, Fresno, CA 93701 Phone: 559-499-6466 | |
Denise Der Knudson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4785 N 1st St, Fresno, CA 93726 Phone: 559-448-4894 | |
Reem Aboushaar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-443-2682 Fax: 559-443-2681 |