Ms. Jennifer M Gault
Physician Assistant (Medical)

Address: 1630 E Herndon Ave, Fresno, CA 93720-3391
Phone: 5592565200

Ms. Jennifer M Gault (NPI# 1144319278) 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) 1144319278
Entity Type Individual
Full Name Ms. Jennifer M Gault
Credential PAC
Gender Female
Practice Address 1630 E Herndon Ave
Fresno
CA 93720-3391
Practice Telephone 5592565200
Practice Fax Number 5592565376
Mailing Address 1630 E Herndon Ave
Fresno
CA 93720-3391
Mailing Telephone 5592565200
Mailing Fax Number 5592565376
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-10-12
Last Update Date 2012-07-02

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers PA17787 CA

Providers with the same name

NPI Name Taxonomy Address Enumeration
1831654995 Jennifer Ann Gault Student in an Organized Health Care Education/Training Program 500 Forbes Ave, Pittsburgh, PA 15282-0001 2019-02-04
1588674410 Jennifer Gault Marriage & Family Therapist 2509 Capitol Ave Ste 203, Sacramento, CA 95816-5808 2006-08-09

Physician Overview

NPI 1144319278
PAC ID by PECOS 4981651296
Professional Enrollment ID I20050407000828
Full Name Jennifer Marie Gault
Organization Legal Name SIERRA PACIFIC ORTHOPAEDIC CENTER MEDICAL GROUP, INC.
Phone Number 5592565200
Gender F
Credential PA
Graduation Year 2004
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 8426941105
Number of Group Practice Members 54
Accepts Medicare Assignment Y
Report Quality Measures Y

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881972164 Pamela Oliver Physician Assistant 1187 E Herndon Ave Ste 106, Fresno, CA 93720-3166 2011-08-03
1750505061 Bounmy - Pinyasone Physician Assistant 141 N. Clark Street, Suite A, Fresno, CA 93701-2124 2007-04-11
1134253180 Joseph John Contreras Physician Assistant 6065 N 1st St, Suite 102, Fresno, CA 93710-5469 2007-03-14
1083653729 Sheri Lynn Oswald Physician Assistant 1646 E Herndon Ave, Suite 106, Fresno, CA 93720-3380 2006-06-06
1447247820 Miriam Levitt Physician Assistant 4770 W Herndon Ave, Fresno, CA 93722-8401 2005-09-30
1154895597 Morgan Peters Physician Assistant 2823 Fresno St, Fresno, CA 93721-1324 2019-01-18
1891220323 Amy Maier Physician Assistant 2823 Fresno St, Fresno, CA 93721-1324 2017-04-21
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
1962871871 Gregory Joice Physician Assistant 2823 Fresno St, Fresno, CA 93721-1324 2015-09-21
Find all providers in FRESNO

Office Location

Street Address 1630 E HERNDON AVE
City FRESNO
State CA
Zip Code 93720-3391

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063403442 Jerome R Dunklin Orthopaedic Surgery 1630 E Herndon Ave, Fresno, CA 93720-3305 2005-11-03
1932754488 Alyssa Matoba Physical Therapy Assistant 1630 E Herndon Ave, Fresno, CA 93720-3391 2019-08-01
1336621754 Frank A Bartucci II Physician Assistant 1630 E Herndon Ave, Fresno, CA 93720-3391 2018-09-01
1437699873 Jennifer R Steger Physician Assistant 1630 E Herndon Ave, Fresno, CA 93720-3391 2017-03-05
1952841983 Jennifer Maynez Physical Therapist 1630 E Herndon Ave, Fresno, CA 93720-3391 2017-02-23
1477907699 Shari Matsuura Physical Therapist 1630 E Herndon Ave, Fresno, CA 93720-3391 2016-04-14
1134583578 Sierra Pacific Orthopaedic Center Physical Therapist 1630 E Herndon Ave, Fresno, CA 93720-3391 2016-04-12
1679954747 Samantha Payseno Physician Assistant 1630 E Herndon Ave, Fresno, CA 93720-3391 2015-06-15
1053714089 Jennifer Ann Brough Wilson Physician Assistant 1630 E Herndon Ave, Fresno, CA 93720-3391 2014-10-05
1427450477 Stephanie Lynn Hartman Physician Assistant 1630 E Herndon Ave, Fresno, CA 93720-3391 2014-09-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013567668 Taylor Courteney Cox Physical Therapist 7080 N. Maple Ave #101, Fresno, CA 93720 2019-09-16
1053969642 Clinca Sierra Vista Clinic/Center 1510 N. Lafayette Ave, Fresno, CA 93720 2019-08-28
1457909152 Lillian M Augilera Technician 8419 N Dearing Ave, Fresno, CA 93720 2019-08-27
1215581764 Sterling Hospitalist Medical Group, Inc. Clinic/Center 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 2019-08-01
1376006429 Nancy Minh Thao Dang Student in an Organized Health Care Education/Training Program 1313 E. Herndon Ave, St 105, Fresno, CA 93720 2019-04-06
1366904716 Shankar Nair Student in an Organized Health Care Education/Training Program 1313 E. Herndon Ave, St 105., Fresno, CA 93720 2019-04-04
1861979544 Powell Pediatric Dentistry Chestnut Partnership Dentist 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 2018-07-25
1669967311 Sierra Pacific Orthopaedic Center Medical Group Inc Specialist 1270 E. Spruce, Fresno, CA 93720 2018-06-26
1689168700 Vinita Vishnoi Student in an Organized Health Care Education/Training Program 1313 E. Herndon Ave, St 105, Fresno, CA 93720 2018-06-21
1194216093 Annalisa Olivas Massage Therapist 1525 E Greenwich Ave, Fresno, CA 93720 2018-05-25
Find all providers in zip 93720

Competitor

Search similar providers

City FRESNO
Zip Code 93720

Improve Information

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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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