DR. GREGORY CLIFTON TESLUK (NPI# 1255351755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255351755 |
Entity Type | Individual |
Full Name | DR. GREGORY CLIFTON TESLUK |
Credential | MD |
Practice Address |
400 E Orangeburg Ave Ste 2 Modesto CA 95350-5365 |
Mailing Address |
3424 Wycliffe Dr Modesto CA 95355-4742 |
Practice Telephone | 2095263000 |
Practice Fax Number | 2095263133 |
Mailing Telephone | 2095265121 |
Enumeration Date | 2006-07-20 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
C41824 | CA | Eye and Vision Services Providers |
X | 207W00000X | Ophthalmology | C418240 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00C418240 | 05 |
Street Address |
400 E ORANGEBURG AVE STE 2 |
City | MODESTO |
State | CA |
Zip Code | 95350-5365 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
Find all providers in zip 95350 |
Taxonomy Code | 156FX1100X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Ophthalmic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245718691 | Artansia Washington | Technician/Technologist | 535 W Flora St Apt 1, Stockton, CA 95203-2433 | 2018-07-29 |
1790972693 | Ocular Surgery Medical Associates | Technician/Technologist | 1245 Wilshire Blvd Ste 801, Los Angeles, CA 90017-4808 | 2007-09-25 |
1679696124 | Eyes of Bay | Technician/Technologist | 1005 El Camino Real, Redwood City, CA 94063-1692 | 2007-04-09 |
1679609234 | Hoang Duy Nguyen | Technician/Technologist | 9371 Kramer Ave, Ste. F, Westminster, CA 92683-5938 | 2007-02-26 |
1598832909 | Fullerton Eye Medical Center | Technician/Technologist | 1321 N Harbor Blvd Ste 300, Fullerton, CA 92835-4131 | 2006-11-29 |
1013083518 | Margaret T Taw | Technician/Technologist | 3356 W. Ball Rd. Ste. #206, Anaheim, CA 92804 | 2006-11-27 |
1720189061 | Rose Medical Group | Technician/Technologist | 2400 N Broadway, Los Angeles, CA 90031-2219 | 2006-09-26 |
1588678841 | Edgar A Lucidi | Technician/Technologist | 328 Hazel Drive, Corona Del Mar, CA 92625-3031 | 2006-07-29 |
1023030301 | Robert Arthur Yohai | Technician/Technologist | 864 2nd St, Santa Rosa, CA 95404-4610 | 2006-07-24 |
1144248881 | J. Dennis Steen | Technician/Technologist | 1825 Main St, Susanville, CA 96130-4518 | 2006-07-18 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. GREGORY CLIFTON TESLUK.
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.