Organization · Type 2 NPI

Regents of University of California

Neurology Physician · Fresno, CA

NPI number 1821014374 Active

Practice location

2335 E Kashian Ln Ste 301
Fresno, CA 93701-2234

Specialties and licenses

Taxonomy	Code	License
Clinical Neuropsychologist	103G00000X	PSY19509 (CA)
Clinical Neuropsychologist	103G00000X	PSY20822 (CA)
Geriatric Medicine (Family Medicine) Physician	207QG0300X	G401330 (CA)
Neurology Physician Primary	2084N0400X	G75668 (CA)
Psychiatry Physician	2084P0800X	20A7888 (CA)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

16 other providers at this address

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NPI record

NPI: 1821014374
Entity type: Organization (Type 2)
Issued: Jul 15, 2006
Last updated: Jan 11, 2019
Status: Active
Subpart: Yes of University of Ca San Fransico

Other names

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Ucsf Fresno Medical Group · other name
Ucsf Fresno Medical Group · other name

Authorized official

Dr. Michael Peterson, M..D.
Associate Dean
(559) 227-4810

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1821014374

Regents of University of California's National Provider Identifier is 1821014374, issued on Jul 15, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Fresno, CA. The record was last updated on Jan 11, 2019.