Premier Cancer Care and Infusion Center

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

PREMIER CANCER CARE AND INFUSION CENTER

Practice address

6121 N Thesta St Ste 204
Fresno, CA 93710-5294

Phone

(595) 554-2100

Fax

(559) 554-2114

NPI assigned

Aug 11, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Dina Ibrahim, MDNPI 1780625376

Title

President

Phone

(559) 554-2100

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Premier Cancer Care and Infusion Center

  • Non-Pharmacy Dispensing Site
  • Fresno, CA
  • NPI 1740051978

  9133591084

  Same PAC ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dina Ibrahim, M.D

  • Hematology & Oncology Physician
  • Fresno, CA
  • NPI 1780625376
  Medicare reassignment Care Compare group NPD Authorized official
• Muhammad Mansoor Alam, M.D

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1417906835
  Medicare reassignment Care Compare group NPD
• Shada Attraplsi

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1659707826
  Medicare reassignment NPD
• Michelle Elizabeth Bergen, FNP-BC

  • Primary Care Nurse Practitioner
  • Fresno, CA
  • NPI 1144732017
  Medicare reassignment NPD
• Cassidy Glasser, PA-S

  • Physician Assistant
  • Santa Maria, CA
  • NPI 1114756863
  Medicare reassignment
• Julianne Macmullen, FNP

  • Nurse Practitioner
  • Visalia, CA
  • NPI 1053044107
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1568190064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26897",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937296897",
            "telephone_number": "559-554-2100",
            "fax_number": "775-747-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 N THESTA ST STE 204",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105294",
            "telephone_number": "595-554-2100",
            "fax_number": "559-554-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CANCER CARE AND INFUSION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-554-2100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "193200000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simrin Preet
• Preferred Chiropractic Center
• Preferred Sleep Center, Inc
• Jamie Preheim
• Prem D. Singh, M.D. & Assoc
• Premier Cancer Care and Infusion Center
• Premier Healthcare Services, LLC (Aveanna Healthcare)
• Premier Home Health of Fresno
• Premier Rheumatology, P. C.
• Premier Valley Healthcare

• Hematology & Oncology Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.