KELLY GAINES


Address: 1213 Coffee Rd, Modesto, CA 95355-4229
Phone: 2094912500

KELLY GAINES (NPI# 1225320211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225320211
Entity Type Individual
Full Name KELLY GAINES
Other Name KELLY SMITH
Credential FNP
Practice Address 1213 Coffee Rd
Modesto
CA 95355-4229
Practice Telephone 2094912500
Mailing Telephone 2094912500
Enumeration Date 2011-05-09
Last Update Date 2011-05-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 17770 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 1213 COFFEE RD
City MODESTO
State CA
Zip Code 95355-4229

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023017225 David Aaron Woodruff Dentist 1213 Coffee Rd, Suite K, Modesto, CA 95355-4229 2005-07-19
1548646839 Edwin Y. Josephs Dds, Inc Dentist 1213 Coffee Rd, Ste. J, Modesto, CA 95355-4229 2015-08-10
1427391044 Amanda Pearl Farley Dentist 1213 Coffee Rd, Suite C, Modesto, CA 95355-4229 2013-04-02
1366713018 Betty Kilpatrick Hansen Marriage & Family Therapist 1213 Coffee Rd, Suite P, Modesto, CA 95355-4229 2012-01-25
1568654986 Brian Kelly Hutto Dentist 1213 Coffee Rd, Suite D, Modesto, CA 95355-4229 2007-08-10
1629293618 Jack Robert Holt Dentist 1213 Coffee Rd, Suite M, Modesto, CA 95355-4229 2007-04-16
1821110586 Meridith Mccurdy-yeoman Physician Assistant 1213 Coffee Rd, Modesto, CA 95355-4229 2007-04-04
1598886178 George J Di Cristina Dentist 1213 Coffee Rd, Suite J, Modesto, CA 95355-4229 2007-04-02
1073639043 Sylvia Diane Victor Marriage & Family Therapist 1213 Coffee Rd, Suite P, Modesto, CA 95355-4229 2007-03-22
1588704951 Lance Bautista Dentist 1213 Coffee Rd, Modesto, CA 95355-4229 2007-02-07
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861091126 Silvia Diego Md Inc A Professional Medical Corp Family Medicine 1317 Oakdale Rd Ste 100, Modesto, CA 95355-3362 2020-10-19
1104393362 Binh T Dang Md Inc Family Medicine 2209 Coffee Rd Ste I, Modesto, CA 95355-2360 2018-10-25
1255869566 Hoa Xuan Phan Family Medicine 1441 Florida Ave Ste 200, Modesto, CA 95350 2017-05-31
1164957486 Progressive Urgent Care Inc Family Medicine 801 17th St, Modesto, CA 95354-1243 2017-04-24
1881039873 Sabrina Arora-thissen Family Medicine 401 Paradise Rd. Ste, Modesto, CA 95351 2013-05-03
1467725473 James L Stanton, Md Inc Family Medicine 200 B1 West Roseburg Avenue, Modesto, CA 95350 2012-02-22
1154698447 Shashi .t Sood M.d., Inc Family Medicine 1401 Spanos Ct Ste 110, Modesto, CA 95355-2812 2011-11-30
1639408362 Charlie Walker Family Medicine 1320 Celeste Drive, Modesto, CA 95355 2009-12-08
1871783142 Jose Limon M.d. Inc. Family Medicine 1809 Bumgardner Ct, Modesto, CA 95355-9295 2007-08-01
1437375094 Christianne Bishop Family Medicine 600 Coffee Road, Sutter Gould Medical Foundation, Modesto, CA 95355 2007-04-18
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Competitor

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City MODESTO
Zip Code 95355

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Dataset Information

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.

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