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NPI Code Detail

MEDICARE: PEARSON MEDICAL CLINIC, INC.

MEDICARE: PEARSON MEDICAL CLINIC, 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
1207QB0002XObesity Medicine (Family Medicine) Physician
2133V00000XRegistered Dietitian
3207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1134309446
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEARSON MEDICAL CLINIC, INC.
Provider Business Mailing Address
First Line : 394 PEARSON DR
Second Line :
City : PORTERVILLE
State : CA
Zip : 93257-3368
Country : US
Telephone Number : 559-783-8383
Fax Number : 559-788-2165
Provider Business Practice Location Address
First Line : 394 PEARSON DR
Second Line :
City : PORTERVILLE
State : CA
Zip : 93257-3368
Country : US
Telephone Number : 559-783-8383
Fax Number : 559-788-2165
Authorized Official
Title or Position : CEO
Name : ANTONIO F. SANCHEZ
Credential : MD
Telephone Number : 559-783-8383
Provider Enumeration Date : 11/05/2007
Last Update Date : 04/03/2018

Similar Medicare Providers

1073570834 — DR. MARIA EMILIA PEREZ CUNANAN M.D.
Practice Location Address:
392 N. PEARSON AVE
PORTERVILLE, CA
93257-3368
Practice Phone: 559-781-6900
Practice Fax: 559-781-6902
1457309262 — FRANCIS DIZON CUNANAN M.D.
Practice Location Address:
392 PEARSON DR
PORTERVILLE, CA
93257-3368
Practice Phone: 559-781-6900
Practice Fax: 559-781-6902
1841203783 — DR. RAMU THIAGARAJAN M.D.
Practice Location Address:
382 NORTH PEARSON DRIVE
PORTERVILLE, CA
93257-3368
Practice Phone: 559-783-0100
Practice Fax: 559-783-0200
1184820995 — RAMU THIAGARAJAN MD PROFESSIONAL CORPORATION
Practice Location Address:
382 NORTH PEARSON DR.
PORTERVILLE, CA
93257-3368
Practice Phone: 559-783-0100
Practice Fax: 559-783-0200
1912158924 — MARK E. READER
Practice Location Address:
390 PEARSON DR
PORTERVILLE, CA
93257-3368
Practice Phone: 559-791-1779
Practice Fax: 559-791-9353
1093262784 — ANGELA VERA JACKSON N.P.- C
Practice Location Address:
394 PEARSON DR
PORTERVILLE, CA
93257-3368
Practice Phone: 559-783-8383
Practice Fax:

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