| Long Term Care Medical Group, Inc | |
|
807 N Van Ness Ave Fresno CA 93728-3425 | |
| (559) 499-1233 | |
| (559) 499-1232 |
| Full Name | Long Term Care Medical Group, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 807 N Van Ness Ave, Fresno, California |
| Authorized Official Name and Position | Stephen Michael Grossman (PRESIDENT) |
| Authorized Official Contact | 5594991233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Term Care Medical Group, Inc 807 N Van Ness Ave Fresno CA 93728-3425 Ph: (559) 499-1233 | Long Term Care Medical Group, Inc 807 N Van Ness Ave Fresno CA 93728-3425 Ph: (559) 499-1233 |
| NPI Number | 1356479877 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 09/26/2019 |
| Medicare PECOS PAC ID | 9032016068 |
|---|---|
| Medicare Enrollment ID | O20031217000464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356479877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 00G647490 (California) | Primary |
| Provider Name | Gaylene Jeanette Soloniuk-tays |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215987409 PECOS PAC ID: 8224949185 Enrollment ID: I20031203000771 |
| Provider Name | Luis T Teopengco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831266691 PECOS PAC ID: 1557252988 Enrollment ID: I20040323001979 |
| Provider Name | Michelle A Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588674634 PECOS PAC ID: 5991782377 Enrollment ID: I20040702000680 |
| 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 | Ghassan S Bachir |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1225081789 PECOS PAC ID: 6103894456 Enrollment ID: I20040923000724 |
| Provider Name | Sudesh Nagavalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780629691 PECOS PAC ID: 9537114103 Enrollment ID: I20050316000568 |
| Provider Name | Tracy C Kutsenkow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699767020 PECOS PAC ID: 2062451289 Enrollment ID: I20050427001013 |
| Provider Name | Pawan K Sood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548269707 PECOS PAC ID: 1456390145 Enrollment ID: I20050502001252 |
| Provider Name | Pinky M Alegarbes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588706584 PECOS PAC ID: 3274554886 Enrollment ID: I20051212000174 |
| Provider Name | Alan M Birnbaum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912937186 PECOS PAC ID: 5395754543 Enrollment ID: I20060417000243 |
| Provider Name | Craig A Lenz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003868100 PECOS PAC ID: 3173528791 Enrollment ID: I20080207000696 |
| Provider Name | Natalya G Malley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629019930 PECOS PAC ID: 4284707886 Enrollment ID: I20080715000494 |
| Provider Name | Roman B Malley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083655443 PECOS PAC ID: 4981777588 Enrollment ID: I20080715000520 |
| Provider Name | Myint Zaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063527463 PECOS PAC ID: 6002974532 Enrollment ID: I20081027000776 |
| Provider Name | Anuj Malik |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871766428 PECOS PAC ID: 2860552395 Enrollment ID: I20081113000610 |
| Provider Name | Rebecca A Zulim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720045826 PECOS PAC ID: 7618028515 Enrollment ID: I20090707000206 |
| Provider Name | Kevin H Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487601480 PECOS PAC ID: 0446303416 Enrollment ID: I20090810000152 |
| Provider Name | Mehdi Hakimipour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194987297 PECOS PAC ID: 5395891451 Enrollment ID: I20090915000714 |
| Provider Name | Gurcharan S Sidhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598827396 PECOS PAC ID: 3274673322 Enrollment ID: I20091221000445 |
| Provider Name | Kara M Orsak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922027960 PECOS PAC ID: 7113113259 Enrollment ID: I20101201000369 |
| Provider Name | Susan J Downey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750300661 PECOS PAC ID: 7416146121 Enrollment ID: I20110112000115 |
| Provider Name | Mohammed M Siddiqui |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184916983 PECOS PAC ID: 3577735125 Enrollment ID: I20111004000599 |
| Provider Name | Gregory M Chernekoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730335233 PECOS PAC ID: 2163694183 Enrollment ID: I20111017000095 |
| Provider Name | Stephen M Grossman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942220926 PECOS PAC ID: 4183521131 Enrollment ID: I20120314000744 |
| Provider Name | Rafael R Teran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487939989 PECOS PAC ID: 6800050345 Enrollment ID: I20120612000552 |
| Provider Name | Khristine M Papa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073741799 PECOS PAC ID: 1254583115 Enrollment ID: I20121129000222 |
| Provider Name | Fiel D Gamad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114342805 PECOS PAC ID: 7012130396 Enrollment ID: I20140514002260 |
| Provider Name | Michael N Moya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407146269 PECOS PAC ID: 9638397557 Enrollment ID: I20140905000904 |
| Provider Name | Nabil Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235405655 PECOS PAC ID: 4284958992 Enrollment ID: I20150128000671 |
| Provider Name | Koneechia C Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275909525 PECOS PAC ID: 6103136049 Enrollment ID: I20151105001668 |
| Provider Name | Lobat Daneshvar-jahromi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841676889 PECOS PAC ID: 7113229840 Enrollment ID: I20160112001492 |
| Provider Name | Chirag V Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891160503 PECOS PAC ID: 6406154574 Enrollment ID: I20160406001689 |
| Provider Name | Dennis M Redubla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053633206 PECOS PAC ID: 7719271105 Enrollment ID: I20160808001991 |
| Provider Name | Jiakun Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912177627 PECOS PAC ID: 3476611245 Enrollment ID: I20160810002692 |
| Provider Name | Abbas S Hasnain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164840724 PECOS PAC ID: 1951698935 Enrollment ID: I20160919001353 |
| Provider Name | Mark Menniti Stecker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740238856 PECOS PAC ID: 3476448895 Enrollment ID: I20161026001356 |
| Provider Name | Alireza Zadsalamat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548588635 PECOS PAC ID: 8729213335 Enrollment ID: I20170404000678 |
| Provider Name | Marieta Marcial |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811095037 PECOS PAC ID: 5597036327 Enrollment ID: I20170811002412 |
| Provider Name | Adam A Rajoulh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740691112 PECOS PAC ID: 2466673744 Enrollment ID: I20170929003311 |
| Provider Name | Shada M M Attraplsi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659707826 PECOS PAC ID: 1355569724 Enrollment ID: I20171109001119 |
| Provider Name | Ranjeet Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093134751 PECOS PAC ID: 3870854623 Enrollment ID: I20180219002548 |
| Provider Name | Laith Altamimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457879488 PECOS PAC ID: 3072877489 Enrollment ID: I20200116000363 |
| Provider Name | Gagandeep K Khara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407416480 PECOS PAC ID: 1456787225 Enrollment ID: I20200214001782 |
| Provider Name | Majdi Lutfi Abdulmaula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295260529 PECOS PAC ID: 8527335314 Enrollment ID: I20200707002394 |
| Provider Name | Jaspreet Kaur Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669023149 PECOS PAC ID: 6800212044 Enrollment ID: I20200818003352 |
| Provider Name | Najib M Allabadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538692256 PECOS PAC ID: 5890114417 Enrollment ID: I20201001001229 |
| Provider Name | Lindsay Jackson-tito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912516253 PECOS PAC ID: 7012329139 Enrollment ID: I20201215000979 |
| Provider Name | Arete Arredondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669994406 PECOS PAC ID: 3577835065 Enrollment ID: I20210603002060 |
| Provider Name | Athena M Oliquiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730722653 PECOS PAC ID: 2365827763 Enrollment ID: I20220921003068 |
| Provider Name | Kamalmeet Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952861205 PECOS PAC ID: 3678959160 Enrollment ID: I20221006002523 |
| Provider Name | Jatinder Kaur Sidhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073232484 PECOS PAC ID: 1456729912 Enrollment ID: I20221115001853 |
| Provider Name | Harjeet K Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053035592 PECOS PAC ID: 9234508995 Enrollment ID: I20221220001204 |
| Provider Name | Sharanjit Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073230884 PECOS PAC ID: 8123499100 Enrollment ID: I20230131000287 |
| Provider Name | Chinedu Chidiebube Nwagwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770112054 PECOS PAC ID: 3072987759 Enrollment ID: I20230622001089 |
| Provider Name | Marisela Tali Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275175556 PECOS PAC ID: 3173955127 Enrollment ID: I20231115002745 |
Sante' Foundation Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7370 N Palm Ave Ste 101, Fresno, CA 93711 Phone: 559-228-5400 | |
Sequoia Community Health Centers 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 | |
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 | |
Valley Pediatric Medical Group 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 | |
Dizon Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7035 N Maple Ave Ste 102b, Fresno, CA 93720 Phone: 559-299-2997 | |
United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2630 Tuolumne St, Fresno, CA 93721 Phone: 800-492-4227 Fax: 559-646-6614 |