Dr. Samia Abdul Ghaffar
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

Address: 255 N Herwaldt Dr, Fresno, CA 93701-2186
Phone: 5594597300

Dr. Samia Abdul Ghaffar (NPI# 1093004988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1093004988
Entity Type Individual
Full Name Dr. Samia Abdul Ghaffar
Credential MD
Gender Female
Practice Address 255 N Herwaldt Dr
Fresno
CA 93701-2186
Practice Telephone 5594597300
Practice Fax Number 5594593571
Mailing Address 2625 E Divisadero St
Fresno
CA 93721-1431
Mailing Telephone 5594535200
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2011-03-31
Last Update Date 2018-03-17

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207XS0117X Orthopaedic Surgery · Orthopaedic Surgery of the Spine Allopathic & Osteopathic Physicians A122660 CA

Secondary Practice Locations

Address Telephone Number Fax Number
7235 N 1st St Ste 103, Fresno, CA 937202937 5594322600 5594323025
729 N Medical Center Dr W Ste 111, Clovis, CA 936116880 (559) 320-0531 5593200539

Physician Overview

NPI 1093004988
PAC ID by PECOS 6204126386
Professional Enrollment ID I20171023002892
Full Name Samia Abdul Ghaffar
Organization Legal Name UNIVERSITY FACULTY ASSOCIATES INC
Phone Number 5593200531
Gender F
Medical School UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduation Year 2011
Primary Specialty ORTHOPEDIC SURGERY
Group Practice PAC ID 6507181708
Number of Group Practice Members 217
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050492 CLOVIS COMMUNITY MEDICAL CENTER
050093 SAINT AGNES MEDICAL CENTER

Office Location

Street Address 255 N HERWALDT DR
City FRESNO
State CA
Zip Code 93701-2186

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801871421 Jeffrey Kirk Russell Physician Assistant 255 N Herwaldt Dr, Fresno, CA 93701-2186 2005-12-07
1609384940 Family Healthcare Network Clinic/Center 255 N Herwaldt Dr, Fresno, CA 93701-2186 2018-01-22
1982115275 Andrew Nadir Wickwire Physician Assistant 255 N Herwaldt Dr, Fresno, CA 93701-2186 2017-10-13
1437689346 Renita Louellen Tyler-richards Physician Assistant 255 N Herwaldt Dr, Fresno, CA 93701-2186 2017-06-13
1578004164 Steven Gunnell Physician Assistant 255 N Herwaldt Dr, Fresno, CA 93701-2186 2017-03-15
1033655238 Joshua May Physician Assistant 255 N Herwaldt Dr, Fresno, CA 93701-2186 2017-01-11
1942746144 Lindsay Weller Physician Assistant 255 N Herwaldt Dr, Fresno, CA 93701-2186 2017-01-11
1629529540 Charles William-wesley Hurd Physician Assistant 255 N Herwaldt Dr, Fresno, CA 93701-2186 2016-10-14
1891178182 Annie Michele Fagundes Nurse Practitioner 255 N Herwaldt Dr, Fresno, CA 93701-2186 2015-07-04
1871905984 Veronica L Demary Physician Assistant 255 N Herwaldt Dr, Fresno, CA 93701-2186 2014-05-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043789555 Charles Slocum Counselor 496 S Barton Ave, Fresno, CA 93701 2018-11-14
1275026585 Yesenia Gonzalez Nurse Practitioner 311 N. Abby St, Fresno, CA 93701 2018-06-11
1710474606 Amanda Juarez Dietitian, Registered 215 N Fresno, Suite 370, Fresno, CA 93701 2018-04-17
1932605235 Clinton Matthew Yada Occupational Therapist 215 N Fresno Street, Suite 250, Fresno, CA 93701 2018-04-04
1922462159 Henry Matthew Dunn Student in an Organized Health Care Education/Training Program Ucsf Fresno, 155 N. Fresno St., Department of Orthopaedic Surgery, Fresno, CA 93701 2016-04-13
1275997512 Lauren Elizabeth Eby Family Medicine 155 North Fresno St., Fresno, CA 93701 2016-04-13
1831593326 Ayesha Amjad Ali Nurse Practitioner 2210 East Illinois Ave, Suite 505, Fresno, CA 93701 2014-10-14
1780096032 Quentin Doperalski Internal Medicine 155 N Fresno St. #307, Internal Medicine Dept- Div. of Infectious Diseases, Fresno, CA 93701 2014-05-21
1447687074 Cindy Alvarez Counselor 611 E. Belmont, Fresno, CA 93701 2013-09-27
1558604447 Jessica Marie Lee Student in an Organized Health Care Education/Training Program 155 N Fresno Street, Ucsf Fresno, Fresno, CA 93701 2013-03-29
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Taxonomy Information

Taxonomy Code 207XS0117X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Orthopaedic Surgery of the Spine

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619018785 Minimal Invasive Spine Specialist Orthopaedic Surgery 6137 N Thesta St, Fresno, CA 93710-8605 2007-02-09
1649253295 Timothy Watson Orthopaedic Surgery 1630 E Herndon Ave, Fresno, CA 93720-3305 2005-11-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134681232 Sca Care of Ca, LLC Orthopaedic Surgery 533 Airport Blvd Ste 420, Burlingame, CA 94010-2018 2019-04-05
1518433457 Trias Global, LLC Orthopaedic Surgery 3501 Jamboree Rd Ste 1250, Newport Beach, CA 92660-2939 2018-10-18
1528557568 James Alfred Aicardi Orthopaedic Surgery 3838 California St Rm 715, San Francisco, CA 94118-1509 2018-05-04
1457850661 Ravi Ramachandran Md Inc Orthopaedic Surgery 2330 E Bidwell St Ste 100, Folsom, CA 95630-3897 2018-02-03
1386153252 Montesano Spine & Sport West, P.C. Orthopaedic Surgery 450 N Roxbury Dr Ste 602, Beverly Hills, CA 90210-4220 2017-09-23
1285019687 Christopher Yoon Kong Orthopaedic Surgery 444 S San Vicente Blvd Ste 901, Los Angeles, CA 90048-4174 2015-07-27
1831599802 Spine Group Beverly Hills Inc Orthopaedic Surgery 8929 Wilshire Blvd, Suite 302, Bevelry Hills, CA 90211 2014-08-27
1720403348 Youjeong Kim, M.d., Inc Orthopaedic Surgery 2100 Webster St Ste 117, San Francisco, CA 94115-2374 2014-02-19
1568885036 Vance Gardner Orthopaedic Surgery 6 Harvey Ct, Irvine, CA 92617-4033 2014-02-03
1659713725 Nicole Claudette Record Orthopaedic Surgery 6190 Cornerstone Ct E Ste 212, San Diego, CA 92121-4701 2013-07-18
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Competitor

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City FRESNO
Zip Code 93701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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