JOHN CHARLES MERILLAT (NPI# 1346280229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346280229 |
| Entity Type | Individual |
| Full Name | JOHN CHARLES MERILLAT |
| Credential | MD |
| Practice Address |
1540 Florida Ave Ste 100 Modesto CA 95350-4430 |
| Practice Telephone | 2095775557 |
| Practice Fax Number | 2095797246 |
| Mailing Telephone | 2095775557 |
| Mailing Fax Number | 2095797246 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2016-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G67546 | CA | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
G67546 | CA | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
G67546 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ76734Z | 05 |
| Street Address |
1540 FLORIDA AVE STE 100 |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-4430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063469245 | Satnam Singh Ludder | Internal Medicine | 1540 Florida Ave Ste 100, Modesto, CA 95350-4430 | 2006-05-31 |
| 1881291979 | Colm Joseph Murphy | Internal Medicine | 1540 Florida Ave Ste 100, Modesto, CA 95350-4430 | 2020-10-02 |
| 1174785695 | Anant K Vyas | Internal Medicine | 1540 Florida Ave Ste 100, Modesto, CA 95350-4430 | 2008-06-26 |
| 1477601995 | Cori Lyn Logan | Registered Nurse | 1540 Florida Ave Ste 100, Modesto, CA 95350 | 2007-01-08 |
| 1073680971 | Navneet K. Dullet | Internal Medicine | 1540 Florida Ave Ste 100, Modesto, CA 95350-4430 | 2006-11-29 |
| 1659316412 | Marlon Getulio Ramilo | Internal Medicine | 1540 Florida Ave Ste 100, Modesto, CA 95350-4430 | 2006-06-17 |
| 1386684132 | Alan Anthony Garvin | Internal Medicine | 1540 Florida Ave Ste 100, Modesto, CA 95350-4430 | 2006-06-08 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1669415303 | Chester Mcbride Boltwood Jr. | Internal Medicine | 4603 Dale Rd, Kaiser Permanente Medical Offices, Modesto, CA 95357-7680 | 2006-06-13 |
| 1972550150 | Shewit K Weldetensae | Internal Medicine | 1540 Florida Ave 100, Modesto, CA 95350-4430 | 2006-05-31 |
| 1063469245 | Satnam Singh Ludder | Internal Medicine | 1540 Florida Ave Ste 100, Modesto, CA 95350-4430 | 2006-05-31 |
| 1386615631 | Walter W Chien | Internal Medicine | 2013 Coffee Rd, Modesto, CA 95355-2405 | 2006-01-26 |
| 1568445534 | Isao Jack Tsuji | Internal Medicine | 1401 Spanos Court, Ste 230, Modesto, CA 95355-7813 | 2005-11-23 |
| 1144695958 | Sutter Valley Medical Foundation | Internal Medicine | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2015-12-04 |
| 1164734489 | Mutahir Ubaid Khan | Internal Medicine | 1401 Spanos Ct, Suite 230, Modesto, CA 95355-2810 | 2010-07-02 |
| 1134364334 | Emad S Najjar | Internal Medicine | 1540 Florida Ave, Modesto, CA 95350-4430 | 2008-12-03 |
| 1174785695 | Anant K Vyas | Internal Medicine | 1540 Florida Ave Ste 100, Modesto, CA 95350-4430 | 2008-06-26 |
| 1720292733 | Western Associates In Surgery | Internal Medicine | 2209 Coffee Road, Suite M, Modesto, CA 95355 | 2007-05-09 |
| Find all providers in MODESTO | ||||
Please comment or provide details below to improve the information on JOHN CHARLES MERILLAT.
| 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.