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: SIMON FARID MIZYED PA-C

MEDICARE: SIMON FARID MIZYED PA-C
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
1363A00000XPhysician Assistant19237CA
2363AM0700XMedical Physician Assistant19237CA
3363AS0400XSurgical Physician Assistant19237CA

General Provider Information

NPI Number : 1952301087
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIMON FARID MIZYED PA-C
Provider Business Mailing Address
First Line : 2625 E DIVISADERO ST
Second Line :
City : FRESNO
State : CA
Zip : 93721-1431
Country : US
Telephone Number : 559-443-2682
Fax Number : 559-443-2681
Provider Business Practice Location Address
First Line : 604 N MAGNOLIA AVE STE 100
Second Line :
City : CLOVIS
State : CA
Zip : 93611-9205
Country : US
Telephone Number : 559-320-0531
Fax Number : 559-320-0539
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 11/04/2019

Similar Medicare Providers

1124025325 — ERIC MICHAEL LINDVALL D.O.
Practice Location Address:
604 N MAGNOLIA AVE STE 100
CLOVIS, CA
93611-9205
Practice Phone: 559-320-0531
Practice Fax: 559-320-0539
1205815164 — NATHAN A HOEKZEMA M.D.
Practice Location Address:
604 N MAGNOLIA AVE STE 100
CLOVIS, CA
93611-9205
Practice Phone: 559-320-0531
Practice Fax: 559-320-0539
1992772610 — DENIZ BAYSAL MD, FRCP
Practice Location Address:
604 N MAGNOLIA AVE STE 100
CLOVIS, CA
93611-9205
Practice Phone: 559-320-0531
Practice Fax: 559-320-0539
1992742852 — CENTRAL CALIFORNIA FACULTY MEDICAL GROUP, INC.
Practice Location Address:
604 N MAGNOLIA AVE STE 100
CLOVIS, CA
93611-9205
Practice Phone: 559-320-0531
Practice Fax: 559-320-0539
1114087046 — ARMEN MARTIROSIAN MD
Practice Location Address:
604 N MAGNOLIA AVE STE 100
CLOVIS, CA
93611-9205
Practice Phone: 559-320-0531
Practice Fax: 559-320-0539
1952559353 — MAXIMINO BRAMBILA MD
Practice Location Address:
604 N MAGNOLIA AVE STE 100
CLOVIS, CA
93611-9205
Practice Phone: 559-320-0531
Practice Fax: 559-320-0539

Directions to “ SIMON FARID MIZYED PA-C” 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 © 2007-2025 (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.