| Premier Cancer Care And Infusion Center | |
|
6121 N Thesta St Ste 204 Fresno CA 93710-5294 | |
| (595) 554-2100 | |
| (559) 554-2114 |
| Full Name | Premier Cancer Care And Infusion Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 6121 N Thesta St Ste 204, Fresno, California |
| Authorized Official Name and Position | Dina Ibrahim (PRESIDENT) |
| Authorized Official Contact | 5595542100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Cancer Care And Infusion Center Po Box 26897 Fresno CA 93729-6897 Ph: (559) 554-2100 | Premier Cancer Care And Infusion Center 6121 N Thesta St Ste 204 Fresno CA 93710-5294 Ph: (595) 554-2100 |
| NPI Number | 1568190064 |
|---|---|
| Provider Enumeration Date | 08/11/2022 |
| Last Update Date | 06/17/2025 |
| Medicare PECOS PAC ID | 9133591084 |
|---|---|
| Medicare Enrollment ID | O20230202001738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568190064 | NPI | - | NPPES |
| 193200000X | Other | TAXONOMY CODE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | (* (Not Available)) | Primary |
| Provider Name | Dina Ibrahim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780625376 PECOS PAC ID: 4183602444 Enrollment ID: I20040712001591 |
| Provider Name | Muhammad M Alam |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417906835 PECOS PAC ID: 2860417185 Enrollment ID: I20161122002009 |
| 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 | Michelle Elizabeth Bergen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144732017 PECOS PAC ID: 4981960390 Enrollment ID: I20191209000129 |
| Provider Name | Julianne Macmullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053044107 PECOS PAC ID: 0143603746 Enrollment ID: I20240829004327 |
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 |