| Mr Prabhjot S Grewal, FNP-C | |
| 6769 N Fresno St Ste 201, Fresno, CA 93710-3715 | |
| (559) 440-1500 | |
| Not Available | 
| Full Name | Mr Prabhjot S Grewal | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 6769 N Fresno St Ste 201, 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 | 
|---|---|---|---|
| 1366174112 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95021504 (California) | Primary | 
| Entity Name | Molina Healthcare Of California | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348 | 
| Entity Name | Emergency Physicians Urgent Care Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1689963845 PECOS PAC ID: 8527234418 Enrollment ID: O20111227000049 | 
| Entity Name | Go Gently Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1447889274 PECOS PAC ID: 9931510187 Enrollment ID: O20210331001579 | 
| Entity Name | Central Health Plan Of California, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1386714772 PECOS PAC ID: 7416395736 Enrollment ID: O20240405001559 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Prabhjot S Grewal, FNP-C 6769 N Fresno St Ste 201, Fresno, CA 93710-3715 Ph: (559) 440-1500 | Mr Prabhjot S Grewal, FNP-C 6769 N Fresno St Ste 201, Fresno, CA 93710-3715 Ph: (559) 440-1500 | 
| Ms. Sheila Orallo Mallory, N. P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1867 E Fir Ave Ste 104, Fresno, CA 93720 Phone: 559-325-5876 Fax: 559-325-5838 | |
| Gretchen Nelson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1105 E Spruce Ave Ste 203, Fresno, CA 93720 Phone: 559-450-7272 Fax: 559-450-7276 | |
| Marlene Solomon Lim, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5755 E Kings Canyon Rd, Suite 104, Fresno, CA 93727 Phone: 559-255-7777 Fax: 559-454-1091 | |
| Ms. Yolanda Mata, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 257 N Dewitt Ave, Fresno, CA 93727 Phone: 559-255-1373 | |
| Tamara Carpenter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-499-6440 | |
| Natalie Betancur, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 645 S Minnewawa Ave, Fresno, CA 93727 Phone: 800-492-4227 | |
| Irene Moore, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7130 N Millbrook Ave Ste 100, Fresno, CA 93720 Phone: 559-326-1222 Fax: 559-326-1230 |