VALLEY RETINA P.C. (NPI# 1144332628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144332628 |
| Entity Type | Organization |
| Organization Name | VALLEY RETINA P.C. |
| Practice Address |
1401 Spanos Ct Suite # 130 Modesto CA 95355-2810 |
| Practice Telephone | 2095269500 |
| Practice Fax Number | 2095269555 |
| Mailing Telephone | 2095269500 |
| Mailing Fax Number | 2095269555 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-01-14 |
| Authorized Official Name | DR. SHI-HWA WILLIAM CHANG (PRESIDENT AND SOLE SHARE HOLDER) |
| Authorized Official Telephone | 2095269500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | A48531 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A485310 | 05 |
| Street Address |
1401 SPANOS CT SUITE # 130 |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124020102 | H Rand Tolboe | Podiatrist | 1401 Spanos Ct, Suite 104, Modesto, CA 95355-2810 | 2005-08-10 |
| 1205372281 | Rochelle Thangalan | Nurse Practitioner | 1401 Spanos Ct, Suite 130, Modesto, CA 95355-2810 | 2017-01-13 |
| 1831634708 | Jennifer Amponsah Dion-gokan | Registered Nurse | 1401 Spanos Ct, Suite 130, Modesto, CA 95355-2810 | 2016-12-30 |
| 1184047813 | H. Rand Tolboe, D.p.m. | Podiatrist | 1401 Spanos Ct, Suite 104, Modesto, CA 95355-2810 | 2014-01-31 |
| 1629317326 | Healthnhealing Inc | Specialist | 1401 Spanos Ct, Suite 108, Modesto, CA 95355-2810 | 2013-01-31 |
| 1033471867 | Central Valley Radiation Oncology | Clinic/Center | 1401 Spanos Ct, Modesto, CA 95355-2810 | 2012-06-07 |
| 1164734489 | Mutahir Ubaid Khan | Internal Medicine | 1401 Spanos Ct, Suite 230, Modesto, CA 95355-2810 | 2010-07-02 |
| 1467772228 | Duggal Medical Corp | Family Medicine | 1401 Spanos Ct, Suite #205, Modesto, CA 95355-2810 | 2010-06-03 |
| 1750517231 | Amrith Jamoona | Neurological Surgery | 1401 Spanos Ct, Suite 130, Modesto, CA 95355-2810 | 2009-06-10 |
| 1083876551 | Regina Marie Singh | Clinical Nurse Specialist | 1401 Spanos Ct, Suite 103, Modesto, CA 95355-2810 | 2008-06-26 |
| Find all providers in the same location | ||||
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639268089 | Keith Alan Davis | Ophthalmology | 1011 Sylvan Ave Ste C, Modesto, CA 95350-1693 | 2006-10-12 |
| 1275504524 | Brian Alexander Lenser | Ophthalmology | 3109 Coffee Rd, Ste C, Modesto, CA 95355-1766 | 2006-01-26 |
| 1194714642 | Rangram Chandran | Ophthalmology | 304 Banner Ct, Suite 1, Modesto, CA 95356-9194 | 2005-10-18 |
| 1346239803 | Anthony James Guida | Ophthalmology | 1011 Sylvan Ave, Modesto, CA 95350-1692 | 2005-10-18 |
| 1477548667 | Shi-hwa William Chang | Ophthalmology | 200 East Granger Ave, Ste 130, Modesto, CA 95350-4303 | 2005-09-14 |
| 1730591041 | Rangram Chandran Md Inc | Ophthalmology | 304 Banner Ct, Suite 1, Modesto, CA 95356-9194 | 2014-05-21 |
| 1194084517 | On-tat Lee | Ophthalmology | 1011 Sylvan Ave, Modesto, CA 95350 | 2012-05-04 |
| 1891954772 | Brent Leong Lum | Ophthalmology | 4601 Dale Rd, Modesto, CA 95356-9718 | 2008-06-05 |
| 1487839379 | Sylvan Eye Associates | Ophthalmology | 1011 Sylvan Ave, Modesto, CA 95350-1692 | 2008-01-09 |
| 1497878953 | Julius Mueller | Ophthalmology | 830 Scenic Dr, Modesto, CA 95350-6131 | 2007-04-09 |
| Find all providers in MODESTO | ||||
Please comment or provide details below to improve the information on VALLEY RETINA P.C..
| 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.