MOSES PACHECO III (NPI# 1366845232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366845232 |
| Entity Type | Individual |
| Full Name | MOSES PACHECO III |
| Practice Address |
2000 W Briggsmore Ave Suite I Modesto CA 95350-3839 |
| Practice Telephone | 2095261440 |
| Practice Fax Number | 2095504903 |
| Mailing Telephone | 2095261440 |
| Mailing Fax Number | 2095504903 |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2015-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2000 W BRIGGSMORE AVE SUITE I |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-3839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437288222 | Center for Human Services | Community/Behavioral Health | 2000 W Briggsmore Ave, Suite I, Modesto, CA 95350-3839 | 2007-03-05 |
| 1134784887 | Lourdes Santos-ortega | Case Manager/Care Coordinator | 2000 W Briggsmore Ave, Modesto, CA 95350-3839 | 2019-05-08 |
| 1851820708 | Sharon Lizotte | Counselor | 2000 W Briggsmore Ave, Modesto, CA 95350-3839 | 2017-06-05 |
| 1255862884 | Robert Plaugher | Counselor | 2000 W Briggsmore Ave, Suite I, Modesto, CA 95350-3839 | 2017-03-24 |
| 1114390473 | Maria Romero | Case Manager/Care Coordinator | 2000 W Briggsmore Ave, Suite I, Modesto, CA 95350-3839 | 2015-11-09 |
| 1083012579 | Julie Phillippi | Counselor | 2000 W Briggsmore Ave, Modesto, CA 95350-3839 | 2014-12-15 |
| 1841694981 | Samantha Hosker | Counselor | 2000 W Briggsmore Ave, Ste. I, Modesto, CA 95350-3839 | 2014-10-17 |
| 1881095834 | Natalie Talistu Silva | Counselor | 2000 W Briggsmore Ave, Suite I, Modesto, CA 95350-3839 | 2014-09-09 |
| 1558772608 | Peter Maldonado | Counselor | 2000 W Briggsmore Ave, Suite I, Modesto, CA 95350-3839 | 2014-05-12 |
| 1154746626 | Julia Angelica Rosas-nieto | Counselor | 2000 W Briggsmore Ave, Suite I, Modesto, CA 95350-3839 | 2014-02-20 |
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| 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 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168219 | Kourosh Mehrazar | Student in an Organized Health Care Education/Training Program | 1405 Villette Ct, Modesto, CA 95356-8904 | 2019-05-02 |
| 1609439793 | Sylvia Margarita Castro | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave # 102, Modesto, CA 95350-4404 | 2019-04-15 |
| 1427518422 | Maham Rehman | Student in an Organized Health Care Education/Training Program | 2301 Powell Dr Apt 3, Modesto, CA 95350-1875 | 2019-03-25 |
| 1609334929 | Yaira Denis Aguilar | Student in an Organized Health Care Education/Training Program | 2000 W Briggsmore Ave # Stii, Modesto, CA 95350-3839 | 2019-03-05 |
| 1346727922 | Jorge Anguiano | Student in an Organized Health Care Education/Training Program | 821 Crippen Ave, Modesto, CA 95351-7700 | 2018-07-26 |
| 1740796648 | Paloma Angelica Parra | Student in an Organized Health Care Education/Training Program | 1400 K St Ste I, Modesto, CA 95354-1018 | 2017-12-15 |
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1326575002 | Rim Amare Gebremariam | Student in an Organized Health Care Education/Training Program | 1400 Florida Ave Ste 200, Modesto, CA 95350-4445 | 2017-05-12 |
| 1023557543 | Jasmine Dominique Brooks | Student in an Organized Health Care Education/Training Program | 2521 Pescadero Pl, Modesto, CA 95355-3439 | 2017-02-16 |
| 1225408412 | Raman Benjamin | Student in an Organized Health Care Education/Training Program | 2800 Wind River Ct, Modesto, CA 95356-9383 | 2015-09-30 |
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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.