DEL PUERTO HEALTH CARE DISTRICT (NPI# 1063430916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063430916 |
| Entity Type | Organization |
| Organization Name | DEL PUERTO HEALTH CARE DISTRICT |
| Other Organization Name | DEL PUERTO HEALTH CENTER |
| Practice Address |
1700 Keystone Pacific Pkwy Unit B Patterson CA 95363-8874 |
| Mailing Address |
Po Box 187 Patterson CA 95363-0187 |
| Practice Telephone | 2098929100 |
| Practice Fax Number | 2098929102 |
| Mailing Telephone | 2098928781 |
| Mailing Fax Number | 2098923755 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | MR. KARIN HENNINGS (CEO ADMINISTRATOR) |
| Authorized Official Telephone | 2098928781 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RHM08901F | 05 |
| Other Name | Type Code |
|---|---|
| Del Puerto Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841380763 | Del Puerto Health Care District | Ambulance | 875 E St, Patterson, CA 95363-2670 | 2006-10-13 |
| Street Address |
1700 KEYSTONE PACIFIC PKWY UNIT B |
| City | PATTERSON |
| State | CA |
| Zip Code | 95363-8874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407881972 | Merced Open Imaging, Inc. | Radiology | 1700 Keystone Pacific Pkwy, Patterson, CA 95363-8874 | 2006-07-12 |
| 1962041301 | Nicholas C Anderson | Physical Therapy Assistant | 1700 Keystone Pacific Pkwy, Patterson, CA 95363-8874 | 2020-01-02 |
| 1215316195 | Fatema Bandookwala | Registered Nurse | 1700 Keystone Pacific Pkwy, Suite B, Patterson, CA 95363-8874 | 2015-05-25 |
| 1942629977 | Innovative Dialysis of Patterson LLC | Clinic/Center | 1700 Keystone Pacific Pkwy, Suite A-1, Patterson, CA 95363-8874 | 2014-04-07 |
| 1669633624 | Diana K Blythe | Pediatrics | 1700 Keystone Pacific Pkwy, Unit B, Patterson, CA 95363-8874 | 2008-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871090472 | Quadmed Medical Clinics of California, Inc. | Clinic/Center | 2065 Keystone Pacific Parkway, Patterson, CA 95363 | 2018-04-10 |
| 1295287613 | Chandni Mukesh Patel | Registered Nurse | 200 C Patterson, Patterson, CA 95363 | 2016-11-02 |
| 1700251279 | Carousel Onia | Registered Nurse | 1372 Samantha Creek Drive, Patterson, CA 95363 | 2015-12-09 |
| 1740534726 | Wal-mart Stores Inc | Technician/Technologist | 1030 Sperry Ave, Patterson, CA 95363 | 2012-10-30 |
| 1770725483 | Thomas Earl Klein | Dentist | 101 S El Circulo Ave, Patterson, CA 95363 | 2009-03-26 |
| 1740450808 | Gary Eric F Sanchez | Dentist | 1040 W. Las Palmas Ave., Suite C, Patterson, CA 95363 | 2008-03-05 |
| 1538381967 | Patterson Joint Unified Sd | Local Education Agency (LEA) | 510 Keystone Blvd, Patterson, CA 95363 | 2007-05-03 |
| 1538389234 | Modesto Advanced Diagnostic Imaging Medical Center | Radiology | 1108 Ward Avenue, Building A, Suite 1, Patterson, CA 95363 | 2007-04-26 |
| 1902849177 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 1080 Sperry Ave, Patterson, CA 95363 | 2006-06-14 |
| 1982126397 | Neha Garg | Internal Medicine | 200 C St, Patterson, CA 95363 | 2017-07-07 |
| Find all providers in zip 95363 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538603063 | Patterson 1st Care Clinic | Clinic/Center | 101 N 3rd St, Patterson, CA 95363-2501 | 2016-12-19 |
| 1073944393 | Doctors Medical Center of Modesto | Clinic/Center | 1010 W Las Palmas Ave, Ste E, Patterson, CA 95363-8873 | 2013-12-12 |
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| 1922614197 | Sierra View Local Health Care District | Clinic/Center | 9520 Road 238, Terra Bella, CA 93270 | 2020-09-22 |
| 1124643598 | Valley Healthcare Centers | Clinic/Center | 369 N Church Rd, Earlimart, CA 93219 | 2020-06-11 |
| 1477177210 | Anand Narayan Md Inc | Clinic/Center | 317 W El Monte Way, Dinuba, CA 93618-1557 | 2020-06-06 |
| 1902435894 | Slt Medical Group Inc | Clinic/Center | 2024 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6498 | 2020-04-03 |
| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1790331817 | Valley Healthcare Centers | Clinic/Center | 252 N Highway 65, Lindsay, CA 93247-2702 | 2019-08-14 |
| 1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
| 1679038434 | Ridgecrest Regional Hospital | Clinic/Center | 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
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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.