MEDICARE: JAY MUKKER DPM 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	332BC3200X	Customized Equipment (DME)	E46560	CA
2	335E00000X	Prosthetic/Orthotic Supplier	E46560	CA
3	332B00000X	Durable Medical Equipment & Medical Supplies	E46560	CA
4	213ES0103X	Foot & Ankle Surgery Podiatrist	E4656	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962722983
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAY MUKKER DPM INC

Provider Business Mailing Address
First Line	:	7210 N MILBURN AVE
Second Line	:	SUITE 101
City	:	FRESNO
State	:	CA
Zip	:	93722-0022
Country	:	US
Telephone Number	:	559-224-5101
Fax Number	:	559-224-4396

Provider Business Practice Location Address
First Line	:	7210 N MILBURN AVE
Second Line	:	SUITE 101
City	:	FRESNO
State	:	CA
Zip	:	93722-0022
Country	:	US
Telephone Number	:	559-224-5101
Fax Number	:	559-224-4396

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAY MUKKER
Credential	:	DPM
Telephone Number	:	559-224-5101

Provider Enumeration Date	:	06/02/2010
Last Update Date	:	06/06/2012

Similar Medicare Providers

1538131578 — DR. LARRY D SCORTT D.P.M.
Practice Location Address:

7210 N MILBURN AVE , SUITE 101
FRESNO, CA
93722-0022

Practice Phone: 559-224-5101
Practice Fax: 559-224-4396

1760338180 — CHLOE DENISE FLIPPO
Practice Location Address:

5168 N BLYTHE AVE STE 102
FRESNO, CA
93722-6478

Practice Phone: 559-255-5900
Practice Fax:

1912415704 — GULVEEN KAUR CHEEMA LCSW
Practice Location Address:

4335 N GOLDEN STATE BLVD STE 103
FRESNO, CA
93722-3821

Practice Phone: 559-512-6232
Practice Fax:

1518244557 — EDMUNDO SORIANO LVN
Practice Location Address:

5779 W. BLUFF AVE.
FRESNO, CA
93722

Practice Phone: 559-277-0214
Practice Fax:

1104772060 — AMAYRANI SERRANO
Practice Location Address:

5168 N BLYTHE AVE STE 102
FRESNO, CA
93722-6478

Practice Phone: 559-255-5900
Practice Fax:

1740136605 — ALEXXA IRASEMA MEJIA
Practice Location Address:

5168 N BLYTHE AVE STE 102
FRESNO, CA
93722-6478

Practice Phone: 559-255-5900
Practice Fax: 559-981-1212

Directions to “JAY MUKKER DPM 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.