GETTYSBURG MEDICAL CLINIC INC (NPI# 1033580931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033580931 |
| Entity Type | Organization |
| Organization Name | GETTYSBURG MEDICAL CLINIC INC |
| Practice Address |
1130 Coffee Rd Building 10 Modesto CA 95355-4228 |
| Mailing Address |
Po Box 26180 Fresno CA 93729-6180 |
| Practice Telephone | 2097252060 |
| Practice Fax Number | 2097252072 |
| Mailing Telephone | 2097252060 |
| Mailing Fax Number | 2097252072 |
| Enumeration Date | 2015-10-18 |
| Last Update Date | 2015-10-18 |
| Authorized Official Name | DR. GRACE WEE LIM (PRESIDENT) |
| Authorized Official Telephone | 2097252060 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174989594 | Gettysburg Medical Clinic Inc | Clinic/Center | 1834 Bellevue Rd, Atwater, CA 95301-2670 | 2016-01-14 |
| 1609112499 | Gettysburg Medical Clinic Inc | Allergy & Immunology | 5088 N Fresno St Ste D, Fresno, CA 93710-7611 | 2012-12-24 |
| 1255680229 | Gettysburg Medical Clinic Inc | Emergency Medicine | 1359 N Fresno St Ste B, Fresno, CA 93703-3837 | 2012-09-05 |
| 1306203773 | Gettysburg Medical Clinic Inc | Clinic/Center | 3341 M St, Merced, CA 95348-2714 | 2016-01-15 |
| Street Address |
1130 COFFEE RD BUILDING 10 |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235123142 | Khosrow Mehrany | Specialist | 1130 Coffee Rd, Suite 5b, Modesto, CA 95355-4228 | 2005-09-07 |
| 1295970796 | Phillip Carroll | Orthotist | 1130 Coffee Rd, Suite B, Modesto, CA 95355-4228 | 2008-12-11 |
| 1639337660 | Ricky Brar | Dentist | 1130 Coffee Rd, #1a, Modesto, CA 95355-4228 | 2008-05-27 |
| 1760663413 | Vikram Brar | Dentist | 1130 Coffee Rd, Suite 1b, Modesto, CA 95355-4228 | 2007-11-23 |
| 1508075482 | Recto F. Deleon, M.d. Inc. | Family Medicine | 1130 Coffee Rd, Ste 9b, Modesto, CA 95355-4228 | 2007-05-21 |
| 1073721593 | Khosrow Mehrany, Md Inc A Medical C Corporation | Dermatology | 1130 Coffee Rd, 7a, Modesto, CA 95355-4228 | 2007-05-18 |
| 1851424469 | Camile Rae Mcamis | Registered Nurse | 1130 Coffee Rd, Suite 5b, Modesto, CA 95355-4228 | 2007-03-13 |
| 1568509081 | Denice Starley | Physical Medicine & Rehabilitation | 1130 Coffee Rd, Bldg 2b, Modesto, CA 95355-4228 | 2007-02-01 |
| 1013080902 | Martha L Gomez | Dentist | 1130 Coffee Rd, Suite 9a, Modesto, CA 95355-4228 | 2006-11-16 |
| 1609852797 | Dan Gordon Anderson | Plastic Surgery | 1130 Coffee Rd, Suite 5 B, Modesto, CA 95355-4228 | 2005-12-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1528119435 | Krishnamoorthi M.d. Inc. | Clinic/Center | 2222 E Orangeburg Ave, Suite A2, Modesto, CA 95355-3399 | 2007-01-16 |
| 1841215530 | Modesto Primary Care | Clinic/Center | 2020 Coffee Rd Ste J2, Modesto, CA 95355-2416 | 2006-07-13 |
| 1568945285 | Katherine Marcela Pettyjohn | Clinic/Center | 1409 Lecourbe Ct, Modesto, CA 95356-8905 | 2018-09-09 |
| 1063698041 | Virgilio C. Ereso M.d. Inc. | Clinic/Center | 500 Coffee Rd, Suite A, Modesto, CA 95355-4926 | 2008-01-21 |
| 1700070521 | Reproduction Health Care Centre | Clinic/Center | 1801 Tully Rd, Modesto, CA 95350-2931 | 2007-09-05 |
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| 1275131765 | Uzoma Uwakah | Clinic/Center | 2521 Seminary Ave # 1, Oakland, CA 94605-1307 | 2020-10-15 |
| 1508464470 | Pestle Health LLC | Clinic/Center | 550 Gene Friend Way Apt 214, San Francisco, CA 94158-2283 | 2020-10-13 |
| 1902404247 | Arbol Acupuncture | Clinic/Center | 2620 Foothill Blvd Ste A, La Crescenta, CA 91214-4509 | 2020-10-09 |
| 1346857802 | Sos Environmental Health | Clinic/Center | 59 Estaban Dr, Camarillo, CA 93010-1609 | 2020-09-29 |
| 1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
| 1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
| 1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
| 1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
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| 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.