JEFFREY ROSS (NPI# 1326449117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326449117 |
Entity Type | Individual |
Full Name | JEFFREY ROSS |
Credential | RN/ACNP/CNS |
Practice Address |
1700 Coffee Rd Modesto CA 95355-2803 |
Mailing Address |
220 Standiford Ave Ste F Modesto CA 95350-1159 |
Practice Telephone | 2095795628 |
Practice Fax Number | 2095795637 |
Mailing Telephone | 2095795628 |
Mailing Fax Number | 2095795637 |
Enumeration Date | 2014-09-11 |
Last Update Date | 2019-10-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
0001250803 | VA | Physician Assistants & Advanced Practice Nursing Providers |
N | 364SE0003X |
Clinical Nurse Specialist Specialization: Emergency |
0001250803 | VA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386810976 | Jeffrey O Ross | Dentist | 10980 Sw Barnes Rd, Portland, OR 97225-5368 | 2008-05-02 |
1215071766 | Jeffrey M Ross | Psychiatry & Neurology | 1670 Cerro Gordo Rd, Santa Fe, NM 87501-6175 | 2007-02-17 |
1942399985 | Jeffrey H Ross | Dentist | 406a Huntingdon Pike, Rockledge, PA 19046-4448 | 2006-10-11 |
1831648955 | Jeffrey Ross | Massage Therapist | 665 Harold Ave, Winter Park, FL 32789-4677 | 2016-09-30 |
1851610232 | Jeffrey Duane Ross | Counselor | 3801 William D Tate Ave # 800a, Grapevine, TX 76051-8755 | 2010-05-24 |
1659558740 | Jeffrey Adam Ross | Internal Medicine | 99 Park Ave, 3rd Floor, New York, NY 10016-1601 | 2008-01-30 |
1972722718 | Jeffrey C Ross | Physical Therapist | 724 Delaware Ave, Fountain Hill, PA 18015-1108 | 2007-04-24 |
1316161094 | Jeffrey Allan Ross | Chiropractor | 5660 Clinton St, Suite 4, Elma, NY 14059-9494 | 2007-04-12 |
1013038645 | Jeffrey M Ross | Counselor | 9055 Manion Dr, Beaumont, TX 77706-3856 | 2007-04-02 |
1881727063 | Jeffrey Steven Ross | Psychiatry & Neurology | 666 Dundee Rd, Suite 1302, Northbrook, IL 60062-2727 | 2007-03-14 |
Street Address |
1700 COFFEE RD |
City | MODESTO |
State | CA |
Zip Code | 95355-2803 |
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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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 |
Find all providers in zip 95355 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851875397 | John Paul Blanchard | Nurse Practitioner | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2018-09-20 |
1609350396 | Cyrus Lee Franklin | Nurse Practitioner | 1441 Florida Ave, Modesto, CA 95350-4404 | 2018-09-19 |
1528574993 | Laura Eileen Starrh | Nurse Practitioner | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2017-12-21 |
1417405267 | Kerri Rae Cavin | Nurse Practitioner | 1441 Florida Ave, Modesto, CA 95350-4404 | 2016-09-21 |
1639540743 | Christina Haro | Nurse Practitioner | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2015-10-15 |
1033586896 | Laura Kinkade | Nurse Practitioner | 1441 Florida Ave, Modesto, CA 95350-4404 | 2015-08-27 |
1457567810 | Daniel Lopez | Nurse Practitioner | 1401 Spanos Ct, Suite 230, Modesto, CA 95355-2816 | 2007-05-15 |
1770707481 | Joan Marie Veneman | Nurse Practitioner | 1441 Florida Ave, Modesto, CA 95350-4405 | 2007-04-12 |
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1023619442 | Dolores Josephine Meehan | Nurse Practitioner | South Bay Vascular Center, 2255 South Bascom Avenue Suite 200, Campbell, CA 95008-7800 | 2020-11-03 |
1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
1851990550 | Fernanda Monteon Ibarra | Nurse Practitioner | 30222 Belmont Ct, Agoura Hills, CA 91301-4611 | 2020-10-22 |
1780283168 | Brenda Rienru Rhima | Nurse Practitioner | 24657 Rockston Dr, Corona, CA 92883-1614 | 2020-10-18 |
1215535034 | Shiji John | Nurse Practitioner | 3765 Gunnison Cir, Corona, CA 92881-8486 | 2020-10-14 |
1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
1063028298 | Kanokwan Kultan | Nurse Practitioner | 15850 Babcock St, San Diego, CA 92127-3680 | 2020-09-22 |
1538775093 | David Lee | Nurse Practitioner | 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 | 2020-09-21 |
1124634886 | Catherine Kestenian | Nurse Practitioner | 351 E Foothill Blvd Ste 250, Arcadia, CA 91006-7426 | 2020-09-18 |
1285249565 | Anu Tharoor | Nurse Practitioner | 505 Parnassus Ave Fl 9, San Francisco, CA 94143-2204 | 2020-09-13 |
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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.