| Dr John Moua, MD | |
|
7145 N Chestnut Ave Ste 101, Fresno, CA 93720-0359 | |
| (559) 603-7270 | |
| (559) 603-7271 |
| Full Name | Dr John Moua |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Pulmonology |
| Location | 7145 N Chestnut Ave Ste 101, 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 |
|---|---|---|---|
| 1154502573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A101940 (California) | Secondary |
| 2080P0214X | Pediatrics - Pediatric Pulmonology | A101940 (California) | Primary |
| Entity Name | Fresno Community Hospital And Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710151881 PECOS PAC ID: 3173430865 Enrollment ID: O20050531000251 |
| Entity Name | Community Foundation Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811258510 PECOS PAC ID: 0345406294 Enrollment ID: O20120723000387 |
| Entity Name | Community Health Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952912420 PECOS PAC ID: 6608280268 Enrollment ID: O20210122001714 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Moua, MD Po Box 889442, Los Angeles, CA 90088-9442 Ph: () - | Dr John Moua, MD 7145 N Chestnut Ave Ste 101, Fresno, CA 93720-0359 Ph: (559) 603-7270 |
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 |