| J&p Spine Center Inc. | |
|
1332 W Herndon Ave Ste 101 Fresno CA 93711-7118 | |
| (559) 538-3145 | |
| Not Available |
| Full Name | J&p Spine Center Inc. |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1332 W Herndon Ave Ste 101, Fresno, California |
| Authorized Official Name and Position | Ginger Johnson (CREDENTIALING) |
| Authorized Official Contact | 8182942657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J&p Spine Center Inc. 1593 E Green Sage Ave Fresno CA 93730-8863 Ph: (682) 433-9287 | J&p Spine Center Inc. 1332 W Herndon Ave Ste 101 Fresno CA 93711-7118 Ph: (559) 538-3145 |
| NPI Number | 1164980744 |
|---|---|
| Provider Enumeration Date | 03/04/2019 |
| Last Update Date | 06/05/2025 |
| Certification Date | 06/05/2025 |
| Medicare PECOS PAC ID | 1850632670 |
|---|---|
| Medicare Enrollment ID | O20190404000979 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164980744 | NPI | - | NPPES |
| 1073957932 | Medicaid | CA | |
| D08605524 | Medicaid | CA |
| Provider Name | Jennifer D Nelsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346786019 PECOS PAC ID: 3274800529 Enrollment ID: I20170517001524 |
| Provider Name | Justice Otchere |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073957932 PECOS PAC ID: 1456606045 Enrollment ID: I20180622001401 |
| Provider Name | Khodadad Namiranian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215262795 PECOS PAC ID: 9436381597 Enrollment ID: I20191022002972 |
| Provider Name | Michael J Palms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336739739 PECOS PAC ID: 8628485307 Enrollment ID: I20210324002194 |
| Provider Name | Elvi Antwi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851898209 PECOS PAC ID: 1658627674 Enrollment ID: I20210707003750 |
| Provider Name | Joan N Nunoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700407426 PECOS PAC ID: 4789099664 Enrollment ID: I20211101000515 |
| Provider Name | Darnell James Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780315291 PECOS PAC ID: 8325422868 Enrollment ID: I20220831003228 |
| Provider Name | Princess Awuah Otchere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609504745 PECOS PAC ID: 4981076452 Enrollment ID: I20230209000828 |
| Provider Name | Gilbert Agyemang-boakye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407385149 PECOS PAC ID: 3476993080 Enrollment ID: I20240430002336 |
| Provider Name | Buffy Nicole Bowers-woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629234984 PECOS PAC ID: 2567904063 Enrollment ID: I20240612002282 |
| Provider Name | Mayra Yesenia Neri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710728043 PECOS PAC ID: 1951846401 Enrollment ID: I20240709003648 |
| Provider Name | Jonathan David Grossman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1225242332 PECOS PAC ID: 4880780717 Enrollment ID: I20240930002947 |
Kings View Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1396 W Herndon Ave, Fresno, CA 93711 Phone: 559-256-0100 | |
Healing Hopes, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1960 N Gateway Blvd, Fresno, CA 93727 Phone: 559-266-5200 Fax: 559-266-5201 | |
Fresno New Creation Ministries Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5150 N 6th St Ste 132, Fresno, CA 93710 Phone: 559-227-1066 | |
Mcpeters Management & Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5066 N Fresno St Ste 103, Fresno, CA 93710 Phone: 559-228-9392 | |
The Reclaim Family Therapy Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 N Van Ness Blvd, Fresno, CA 93704 Phone: 559-549-3915 | |
Clark Family Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2721 Ventura St Ste 3, Fresno, CA 93721 Phone: 559-547-7945 | |
Fresno County California Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 851 Van Ness Ave, Fresno, CA 93721 Phone: 559-488-1318 |