MEDICARE: NIDIA CRISTAL PAYAN MD, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1063270098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NIDIA CRISTAL PAYAN MD, INC

Provider Business Mailing Address
First Line	:	PO BOX 25042
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93729-5042
Country	:	US
Telephone Number	:	559-892-4500
Fax Number	:	559-892-4550

Provider Business Practice Location Address
First Line	:	6763 N PALM AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93704-1082
Country	:	US
Telephone Number	:	323-770-3812
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATIVE MANAGER
Name	:	BETTE STANFORD
Credential	:
Telephone Number	:	559-892-4500

Provider Enumeration Date	:	03/13/2024
Last Update Date	:	03/13/2024

Similar Medicare Providers

1841957156 — MARISSA ANNABEL MARQUEZ BACHELORS
Practice Location Address:

1104 E SAGINAW WAY
FRESNO, CA
93704-4359

Practice Phone: 559-559-9743
Practice Fax:

1982479630 — KAILO FAMILY CLINICS
Practice Location Address:

135 W SHAW AVE STE 100
FRESNO, CA
93704-2825

Practice Phone: 559-721-4110
Practice Fax: 559-721-4110

1447025192 — EXPEDITE URGENT CARE
Practice Location Address:

135 W SHAW AVE STE 102
FRESNO, CA
93704-2825

Practice Phone: 559-721-4110
Practice Fax: 559-721-4110

1164731964 — MS. DIANE BIRGIT PROSSER MFT
Practice Location Address:

5090 N COLLEGE AVE APT 113
FRESNO, CA
93704-2609

Practice Phone: 831-917-7993
Practice Fax:

1720933773 — HUAMAN DENTAL CORP
Practice Location Address:

6495 N PALM AVE STE 105
FRESNO, CA
93704-1063

Practice Phone: 559-277-3001
Practice Fax: 559-277-3031

1609871961 — DR. JEFFREY CHARLES KROHN O.D.
Practice Location Address:

5151 N PALM AVE , STE 150
FRESNO, CA
93704-2221

Practice Phone: 559-229-7202
Practice Fax: 559-229-2998

Directions to “NIDIA CRISTAL PAYAN MD, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.