Search › California › 101YA0400X
Keith Ennis, SUDC III-CS
NPI 1356714430 · on the registry since 2015
Practice
- Address
- 3636 N 1st St Ste 135&154
Fresno, CA 93726 - Phone
- (559) 225-1464
- Fax
- (844) 601-2973
- Organisation at this address
- Joseph N Nozaki
Geny Chan Dds Inc
Tim Gurtch, Md, Inc.
Amor T Fernando Md Inc
Rahn Chiropractic & RehabInferred from a shared address, not stated in the registry. - Clinicians at this address
- 108
Additional practice sites
- 1204 W Shaw Ave Ste 102, Fresno, CA
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California