| Planned Parenthood Mar Monte, Inc | |
|
6095 N 1st St Fresno CA 93710-5444 | |
| (559) 446-1515 | |
| (559) 446-1273 |
| Full Name | Planned Parenthood Mar Monte, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6095 N 1st St, Fresno, California |
| Authorized Official Name and Position | Tom Motsiff (CFO) |
| Authorized Official Contact | 4087953707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Planned Parenthood Mar Monte, Inc 1691 The Alameda San Jose CA 95126-2203 Ph: (408) 795-3600 | Planned Parenthood Mar Monte, Inc 6095 N 1st St Fresno CA 93710-5444 Ph: (559) 446-1515 |
| NPI Number | 1023062593 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 07/25/2019 |
| Medicare PECOS PAC ID | 1456248954 |
|---|---|
| Medicare Enrollment ID | O20041029000856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023062593 | NPI | - | NPPES |
| CMM70669G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 040000294 (California) | Primary |
| Provider Name | Kathleen Ann Kimball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801907100 PECOS PAC ID: 9335180371 Enrollment ID: I20050519000497 |
| Provider Name | Christine M Grisbach Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316058662 PECOS PAC ID: 1153353248 Enrollment ID: I20050909000413 |
| Provider Name | Cheryl Anne Balaoing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932336377 PECOS PAC ID: 1254478241 Enrollment ID: I20091023000306 |
| Provider Name | Amanda Villani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386028363 PECOS PAC ID: 9436468485 Enrollment ID: I20151028001940 |
| Provider Name | Margaux Helene Lazarin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952628422 PECOS PAC ID: 5799912937 Enrollment ID: I20160707001740 |
| Provider Name | Monalisa Ann Lafountain-rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215164645 PECOS PAC ID: 9133404411 Enrollment ID: I20170329000735 |
| Provider Name | Madison Jay Beal |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821506866 PECOS PAC ID: 9830450782 Enrollment ID: I20180309001778 |
| Provider Name | Prabhjot Dhadda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376046300 PECOS PAC ID: 3375805575 Enrollment ID: I20180328002297 |
| Provider Name | Sara T Terashima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649768086 PECOS PAC ID: 3577818046 Enrollment ID: I20181115001618 |
| Provider Name | Lillian Froughieh Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407347271 PECOS PAC ID: 8921345612 Enrollment ID: I20190204002603 |
| Provider Name | Sarah Elizabeth Gold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821651175 PECOS PAC ID: 9234465865 Enrollment ID: I20190719001481 |
| Provider Name | Namrata Mastey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720475411 PECOS PAC ID: 1850621822 Enrollment ID: I20190918002047 |
| Provider Name | Cassy Friedrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427469782 PECOS PAC ID: 3971834169 Enrollment ID: I20191021000969 |
| Provider Name | Courtney M Wilmot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093338873 PECOS PAC ID: 8022435239 Enrollment ID: I20200902003094 |
| Provider Name | Lauren N Salmo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952914095 PECOS PAC ID: 4486073269 Enrollment ID: I20200928002575 |
| Provider Name | Charlotte Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548799059 PECOS PAC ID: 3375871676 Enrollment ID: I20210208001457 |
| Provider Name | Rachel Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033703038 PECOS PAC ID: 6305241563 Enrollment ID: I20210826000239 |
| Provider Name | Maria Tuite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093481350 PECOS PAC ID: 4587061221 Enrollment ID: I20210923001456 |
| Provider Name | Hannah Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265104293 PECOS PAC ID: 2466840707 Enrollment ID: I20211019002502 |
| Provider Name | Trang Thu Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285184135 PECOS PAC ID: 9537553763 Enrollment ID: I20220303001089 |
| Provider Name | Clarissa Mae Domingo-javier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811696883 PECOS PAC ID: 6204296551 Enrollment ID: I20230718002144 |
| Provider Name | Stephanie Anne Ng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558131235 PECOS PAC ID: 5890148985 Enrollment ID: I20240124004468 |
| Provider Name | Kelly Jean Garrison Garmur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700195260 PECOS PAC ID: 1456794817 Enrollment ID: I20240213002333 |
| Provider Name | Walena Rochester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689455255 PECOS PAC ID: 7810333937 Enrollment ID: I20240312002216 |
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 | |
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 |