WANDISAN AND ROSETE MEDICAL GROUP PROFESSIONAL CORPORATION (NPI# 1316058795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316058795 |
| Entity Type | Organization |
| Organization Name | WANDISAN AND ROSETE MEDICAL GROUP PROFESSIONAL CORPORATION |
| Practice Address |
4600 S Tracy Blvd #107 Tracy CA 95377 |
| Practice Telephone | 2098364920 |
| Practice Fax Number | 2098364935 |
| Mailing Telephone | 2098364920 |
| Mailing Fax Number | 2098364935 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-07-10 |
| Authorized Official Name | FLORENCE WANDISAN ROSETE (CFO) |
| Authorized Official Telephone | 2098364920 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A72169 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4600 S TRACY BLVD #107 |
| City | TRACY |
| State | CA |
| Zip Code | 95377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787070 | Mehak Bhardwaj | Behavior Technician | 2434 Saffron Ct, Tracy, CA 95377 | 2020-07-22 |
| 1427510809 | Xiaorui Yang | Behavior Technician | 1951 W Middlefield Dr Apt 224, Tracy, CA 95377 | 2019-04-03 |
| 1962936328 | Duc Nguyen | Pharmacist | 2941 W. Lowell Ave, Apt# 21, Tracy, CA 95377 | 2017-04-12 |
| 1053735043 | Luke Rond | Emergency Medicine | 763 Quail Run Cir, Tracy, CA 95377 | 2014-02-11 |
| 1578862553 | Nhan Duong | Pharmacist | 3250 W. Grant Line Road, Tracy, CA 95377 | 2011-03-16 |
| 1952570582 | Tech Diamond Health Care | Home Health | 2098 Babcock Lane, Tracy, CA 95377 | 2008-02-28 |
| 1801838610 | Rollie Duyao Rosete | Internal Medicine | 4600 S Tracy Blvd, #107, Tracy, CA 95377 | 2006-06-13 |
| 1649274663 | Wivina Talabis Urbano | Pediatrics | 4600 South Tracy Blvd, Suite 110, Tracy, CA 95377 | 2005-06-08 |
| 1770586448 | Mitchell Edward Blum | Otolaryngology | 2160 W. Grantline Rd, Suite 250, Tracy, CA 95377 | 2005-05-24 |
| 1457396897 | Florence Leguiab Wandisan-rosete | Internal Medicine | 4600 S Tracy Blvd, #107, Tracy, CA 95377 | 2006-06-19 |
| Find all providers in zip 95377 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831485705 | Ali Reza Mirhosseini | Internal Medicine | 1530 Bessie Ave Ste 101, Tracy, CA 95376-3080 | 2011-06-20 |
| 1801062260 | Santokh Bhullar Md Inc | Internal Medicine | 2231 N Tracy Blvd, Suite B, Tracy, CA 95376-2425 | 2008-05-06 |
| 1801838610 | Rollie Duyao Rosete | Internal Medicine | 4600 S Tracy Blvd, #107, Tracy, CA 95377 | 2006-06-13 |
| 1639135510 | Grewal Medical Associates | Internal Medicine | 530 W Eaton Ave Ste K, Tracy, CA 95376 | 2006-04-21 |
| 1780655951 | Chemanoor U Zachariah | Internal Medicine | 130 W 11th St, Suite D, Tracy, CA 95376-3935 | 2006-01-27 |
| 1356312516 | Gautami Agastya | Internal Medicine | 652 W 11th St, Suite 137, Tracy, CA 95376-3869 | 2006-01-27 |
| 1518943190 | Mitchell L Seitz | Internal Medicine | 632 W 11th St, Ste 111, Tracy, CA 95376-3856 | 2005-12-15 |
| 1376069856 | Hla Win | Internal Medicine | 632 Morton Way, Tracy, CA 95377-8555 | 2017-08-16 |
| 1326490012 | Varunpal Reddy Sama | Internal Medicine | 249 5th St E, Tracy, MN 56175-1536 | 2016-07-06 |
| 1326413154 | Sutter Valley Medical Foundation | Internal Medicine | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2015-12-04 |
| Find all providers in TRACY | ||||
Please comment or provide details below to improve the information on WANDISAN AND ROSETE MEDICAL GROUP PROFESSIONAL CORPORATION.
| 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.