SAMAKHOM MEDICAL CLINIC INC (NPI# 1235335431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235335431 |
| Entity Type | Organization |
| Organization Name | SAMAKHOM MEDICAL CLINIC INC |
| Practice Address |
300 I St Modesto CA 95351-2826 |
| Mailing Address |
Po Box 2128 Merced CA 95344-0128 |
| Practice Telephone | 2095212632 |
| Mailing Telephone | 2096346432 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2009-04-02 |
| Authorized Official Name | ROBERT J BUTLER (ADMINISTRATOR) |
| Authorized Official Telephone | 2096346432 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G501301 | 05 |
| Street Address |
300 I ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95351-2826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013139054 | Bounchanh Trysavath | Physician Assistant | 300 I St, Modesto, CA 95351 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392487 | Western Dental Services, Inc. | Dentist | 1524 Richland Ave, Ceres, CA 95351 | 2017-12-18 |
| 1881039873 | Sabrina Arora-thissen | Family Medicine | 401 Paradise Rd. Ste, Modesto, CA 95351 | 2013-05-03 |
| 1407163561 | Maliza Cahee Oliver | Dentist | 1404 Mitchell Rd, Modesto, CA 95351 | 2010-09-09 |
| 1124345616 | Jason Lee Paul Wayrynen | Social Worker | 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 | 2010-04-23 |
| 1841469640 | Edgar Hse-hwa Han | Physical Medicine & Rehabilitation | 1521 N. Carpenter Road, Suite D-1, Modesto, CA 95351 | 2008-02-26 |
| 1326259326 | Karen Ann Peterson | Nurse Practitioner | 1340 Mitchell Rd, Modesto, CA 95351 | 2007-05-24 |
| 1245363464 | Sharon Basaldua1 | Counselor | 813 Moon Lane, Modesto, CA 95351 | 2007-03-14 |
| 1710046834 | Phil Chen | Dentist | 1460 Mitchell Road, Suite B, Modesto, CA 95351 | 2006-12-06 |
| 1649366055 | Victor Y. Chen | Family Medicine | 401 Paradise Road, Suite E, Modesto, CA 95351 | 2006-10-04 |
| 1487679296 | Ronald M Megee | Chiropractor | 2507 East Hatch Rd., Suite B, Modesto, CA 95351 | 2006-07-13 |
| Find all providers in zip 95351 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366799801 | Nineveh Outreach | Clinic/Center | 1601 Coffee Rd, Modesto, CA 95355-2801 | 2012-08-14 |
| 1225164056 | Reproductive Health Care Center | Clinic/Center | 1801 Tully Rd Ste F, Modesto, CA 95350-2931 | 2007-02-26 |
| 1730285073 | Valley Wound Healing Center, Inc. | Clinic/Center | 4335 N Star Way, A, Modesto, CA 95356-8624 | 2006-09-15 |
| 1619444882 | American Current Care of California, A Medical Corporation | Clinic/Center | 1524 Mchenry Ave Ste 135, Modesto, CA 95350-4569 | 2018-10-25 |
| 1982171153 | American Current Care of California, A Medical Corporation | Clinic/Center | 1340 Mitchell Rd, Modesto, CA 95351-4920 | 2018-10-25 |
| 1891991741 | County of Stanislaus | Clinic/Center | 830 Scenic Dr, Ste A, Modesto, CA 95350-6131 | 2007-06-26 |
| 1154527232 | County of Stanislaus | Clinic/Center | 830 Scenic Dr, Suite B, Modesto, CA 95350-6131 | 2007-06-25 |
| 1396941464 | County of Stanislaus | Clinic/Center | 401 Paradise Rd, Suite E, Modesto, CA 95351-3104 | 2007-06-25 |
| 1093910275 | County of Stanislaus | Clinic/Center | 1209 Woodrow Ave, Ste. B-10, Modesto, CA 95350-1288 | 2007-06-18 |
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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.