DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: REIVAN BUENAOBRA RN

MEDICARE:   REIVAN  BUENAOBRA  RN
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
1163WU0100XUrology Registered NurseR221695MD

General Provider Information

NPI Number : 1013868629
Entity Type Code : Individual
Provider Name (Legal Business Name) : REIVAN BUENAOBRA RN
Provider Business Mailing Address
First Line : 2615 E CLINTON AVE
Second Line :
City : FRESNO
State : CA
Zip : 93703-2223
Country : US
Telephone Number : 559-228-5371
Fax Number :
Provider Business Practice Location Address
First Line : 2615 E CLINTON AVE
Second Line :
City : FRESNO
State : CA
Zip : 93703-2223
Country : US
Telephone Number : 559-228-5371
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

Similar Medicare Providers

1225981590 — KEVIN FIZER RD
Practice Location Address:
2615 E CLINTON AVE
FRESNO, CA
93703-2223
Practice Phone: 559-225-6100
Practice Fax:
1558213041 — ROSE MOUA
Practice Location Address:
2615 E CLINTON AVE
FRESNO, CA
93703-2223
Practice Phone: 559-225-6100
Practice Fax:
1770435349 — GLADYS GONZALEZ
Practice Location Address:
2615 E CLINTON AVE
FRESNO, CA
93703-2223
Practice Phone: 559-225-6100
Practice Fax:
1881545549 — MS. LESLEE MARIE MCGANN CMT
Practice Location Address:
2615 E CLINTON AVE
FRESNO, CA
93703-2223
Practice Phone: 559-225-6100
Practice Fax:
1992700280 — CATHERINE ELEANOR YEN M.D.
Practice Location Address:
2615 E CLINTON AVE DEPT OF
FRESNO, CA
93703-2223
Practice Phone: 559-228-5328
Practice Fax:
1508862335 — DR. GENE RAYMOND CONLEY M.D.
Practice Location Address:
2615 E CLINTON AVE
FRESNO, CA
93703-2223
Practice Phone: 559-228-5366
Practice Fax: 559-228-5309

Directions to “ REIVAN BUENAOBRA RN” 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.