LOREN D. BAUMAN


Address: 1700 Coffee Rd, Modesto, CA 95355-2803
Phone: 2095264500

LOREN D. BAUMAN (NPI# 1326155052) 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) 1326155052
Entity Type Individual
Full Name LOREN D. BAUMAN
Credential PA
Practice Address 1700 Coffee Rd
Modesto
CA 95355-2803
Mailing Address 2100 Powell St Ste 920
Emeryville
CA 94608-1844
Practice Telephone 2095264500
Mailing Telephone 5103502600
Enumeration Date 2006-08-25
Last Update Date 2011-03-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA13310 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA PA13310 05

Other Providers LOREN BAUMAN

NPI Name Taxonomy Address Enumeration
1437134574 Loren Alec Bauman Anesthesiology Medical Center Blvd, Winston Salem, NC 27157-0001 2005-12-13

Office Location

Street Address 1700 COFFEE RD
City MODESTO
State CA
Zip Code 95355-2803

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629059746 Sutter Central Valley Hospitals Clinical Medical Laboratory 1700 Coffee Rd, Modesto, CA 95355-2803 2005-11-07
1356962732 Nicole Laura Physical Therapist 1700 Coffee Rd, Modesto, CA 95355-2803 2020-04-27
1275153314 Christopher Lucas Pharmacist 1700 Coffee Rd, Modesto, CA 95355-2803 2020-04-18
1366077323 Nicole Kathleen Boere Nurse Practitioner 1700 Coffee Rd, Modesto, CA 95355-2803 2020-03-10
1235770165 P. Curly Johnson Nurse Practitioner 1700 Coffee Rd, Modesto, CA 95355-2803 2019-10-02
1932758596 Samantha Megan Allen Nurse Practitioner 1700 Coffee Rd, Modesto, CA 95355-2803 2019-09-06
1215592324 Brittany Henson Physical Therapist 1700 Coffee Rd, Modesto, CA 95355-2803 2019-05-03
1306317987 Jacob John Verhoeven Physician Assistant 1700 Coffee Rd, Modesto, CA 95355-2803 2018-12-08
1164992277 Jessica Chan Physician Assistant 1700 Coffee Rd, Modesto, CA 95355-2803 2018-12-01
1851875397 John Paul Blanchard Nurse Practitioner 1700 Coffee Rd, Modesto, CA 95355-2803 2018-09-20
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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 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992987259 Kristine Ann Rebiero Physician Assistant 1030 Scenic Dr, Modesto, CA 95350-6133 2007-11-28
1174606800 Delia Yanira Hernandez Physician Assistant 1317 Oakdale Rd Ste 440, Modesto, CA 95355 2006-10-24
1194821223 Linda Sue Phillips Physician Assistant 3400 Finch Rd, Parker-racor Healthstat Clinic, Modesto, CA 95354-4125 2006-09-16
1265415525 Natalie Angele Mattos Physician Assistant 1114 6th St, Modesto, CA 95354-2203 2005-11-21
1598264103 Corey Tremblay Physician Assistant 817 Coffee Rd Ste B, Modesto, CA 95355-4241 2018-02-09
1720592033 Jennifer Ann O'connor Physician Assistant 1114 6th St, Modesto, CA 95354-2203 2017-11-22
1275938748 Cleiban Hernan Vega Physician Assistant 1234 Mchenry Ave, Modesto, CA 95350-5373 2014-10-27
1861895278 David Ronald Boone Physician Assistant 1409 E Briggsmore Ave, Modesto, CA 95355-2707 2014-09-30
1730594078 Joshua Clements Physician Assistant 2101 Tenaya Dr, Modesto, CA 95354-3930 2014-06-25
1134473564 Sheena Latrac Allen Physician Assistant 1441 Florida Ave, Modesto, CA 95350-4404 2012-11-07
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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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