| J&p Spine Center Inc. | |
|
6079 N Fresno St Ste 101 Fresno CA 93710-5276 | |
| (682) 433-9287 | |
| Not Available |
| Full Name | J&p Spine Center Inc. |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 6079 N Fresno St Ste 101, Fresno, California |
| Authorized Official Name and Position | Justice Otchere (PRESIDENT) |
| Authorized Official Contact | 6824339287 |
| 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. 6079 N Fresno St Ste 101 Fresno CA 93710-5276 Ph: (682) 433-9287 |
| NPI Number | 1164980744 |
|---|---|
| Provider Enumeration Date | 03/04/2019 |
| Last Update Date | 05/15/2025 |
| 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 |
Jason Stutzman Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1925 E Dakota Ave, Fresno, CA 93726 Phone: 559-459-1615 | |
Sequoia Community Health Foundation, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Fresno St Ste 102, Fresno, CA 93706 Phone: 559-457-5700 Fax: 559-457-5790 | |
Abby Medical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 N Abby St, Fresno, CA 93701 Phone: 559-455-1500 Fax: 559-253-1302 | |
Fresno Healthcare Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3233 N Chestnut Ave Ste 102, Fresno, CA 93726 Phone: 559-456-1167 Fax: 559-456-1183 | |
Planned Parenthood Mar Monte, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6095 N 1st St, Fresno, CA 93710 Phone: 559-446-1515 Fax: 559-446-1273 | |
Harsh Saigal Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7130 N Sharon Ave Ste 101, Fresno, CA 93720 Phone: 559-436-8606 Fax: 559-436-8654 | |
Dominic Dizon, Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7035 N Maple Ave Ste 102b, Fresno, CA 93720 Phone: 559-299-2997 |