| Dominic Dizon, Medical Corporation | |
|
7035 N Maple Ave Ste 102b Fresno CA 93720-8026 | |
| (559) 299-2997 | |
| Not Available |
| Full Name | Dominic Dizon, Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 7035 N Maple Ave Ste 102b, Fresno, California |
| Authorized Official Name and Position | Nhuha Nguyen (MANAGER) |
| Authorized Official Contact | 5592992997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominic Dizon, Medical Corporation 7035 N Maple Ave Ste 102b Fresno CA 93720-8026 Ph: () - | Dominic Dizon, Medical Corporation 7035 N Maple Ave Ste 102b Fresno CA 93720-8026 Ph: (559) 299-2997 |
| NPI Number | 1023669942 |
|---|---|
| Provider Enumeration Date | 09/23/2019 |
| Last Update Date | 09/07/2024 |
| Medicare PECOS PAC ID | 4587101241 |
|---|---|
| Medicare Enrollment ID | O20240731001730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023669942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Luz A Garcia Aristizabal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801998133 PECOS PAC ID: 6002800133 Enrollment ID: I20040412001656 |
| Provider Name | Ha Tb Hoang Nishihara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649284993 PECOS PAC ID: 8325025349 Enrollment ID: I20040707000521 |
| Provider Name | Amy E Evans |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407965155 PECOS PAC ID: 0143382234 Enrollment ID: I20081226000084 |
| Provider Name | Dominic T Dizon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659384295 PECOS PAC ID: 0840356325 Enrollment ID: I20090309000134 |
| Provider Name | Francisco Fincalero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699326132 PECOS PAC ID: 8628400413 Enrollment ID: I20191115002846 |
| Provider Name | David Carey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790060457 PECOS PAC ID: 9830311703 Enrollment ID: I20200217004260 |
| Provider Name | Marikit Beth Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659983195 PECOS PAC ID: 4688089394 Enrollment ID: I20210210001698 |
| Provider Name | Rebecca Jean Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326749003 PECOS PAC ID: 8729453261 Enrollment ID: I20230413002838 |
| Provider Name | Janette Loera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568151090 PECOS PAC ID: 4486009883 Enrollment ID: I20231004002408 |
| Provider Name | Susan Senzaki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750764296 PECOS PAC ID: 5698124907 Enrollment ID: I20231212003088 |
| Provider Name | Sheryll Mae Soriano |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1225290307 PECOS PAC ID: 3971777814 Enrollment ID: I20241125001346 |
| Provider Name | Ambreen Jessica Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164247672 PECOS PAC ID: 7416483318 Enrollment ID: I20241213003689 |
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