RANTI SHERIFAT BOLAJI (NPI# 1417217993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417217993 |
| Entity Type | Individual |
| Full Name | RANTI SHERIFAT BOLAJI |
| Credential | MD |
| Practice Address |
1441 Florida Ave Modesto CA 95350-4404 |
| Practice Telephone | 2095781211 |
| Mailing Telephone | 2095781211 |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2016-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A135261 | CA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 4301100658 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301100658 | MI | Student, Health Care |
| Street Address |
1441 FLORIDA AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326044876 | Suhail Rahhal | Internal Medicine | 1441 Florida Ave, Modesto, CA 95350-4404 | 2005-06-21 |
| 1629603667 | Avinesh Prakash | Nurse Practitioner | 1441 Florida Ave, Modesto, CA 95350-4404 | 2020-03-10 |
| 1437784469 | Jose L Bazan | Nurse Practitioner | 1441 Florida Ave, Modesto, CA 95350-4404 | 2020-03-10 |
| 1770117541 | Sydney Edwards | Physician Assistant | 1441 Florida Ave, Modesto, CA 95350-4418 | 2020-03-02 |
| 1003466756 | Jessica Izelle Whipkey | Pharmacy Technician | 1441 Florida Ave, Modesto, CA 95350-4418 | 2019-09-16 |
| 1538715040 | Antoinette Marie Nguyen | Registered Nurse | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-08-12 |
| 1588229637 | Janel Mark | Perfusionist | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-05-03 |
| 1437713799 | Kunal Panwar | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-04-23 |
| 1275196099 | Billy Huynh | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave, Modesto, CA 95350-4418 | 2019-04-17 |
| 1063075067 | Herbert Mao | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-04-16 |
| Find all providers in the same location | ||||
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942664552 | Carolyn Robin Lanam | Emergency Medicine | 1601 Cummins Dr Ste D, Modesto, CA 95358-6411 | 2016-04-09 |
| 1821288739 | Darrell Jack Names | Emergency Medicine | 1904 Laurel Oak Dr, Modesto, CA 95354-1627 | 2007-07-26 |
| 1487662631 | Clair L. Pettinger | Emergency Medicine | 4707 Greenleaf Ct, Suite A, Modesto, CA 95356-8733 | 2006-08-04 |
| 1619919735 | Joseph Charles Dagostino | Emergency Medicine | 700 Coffee Rd, Memorial Med Ctr, Modesto, CA 95355 | 2006-06-12 |
| 1003812751 | John Joseph Gallo | Emergency Medicine | 3800 Dale Rd, Modesto, CA 95356-8627 | 2005-06-27 |
| 1538424296 | Sara Khaghani | Emergency Medicine | 4601 Dale Rd, Modesto, CA 95356-9718 | 2012-07-09 |
| 1780945766 | Jose Gerardo Alberto | Emergency Medicine | 600 Coffee Rd, Modesto, CA 95355-4201 | 2012-06-06 |
| 1811253198 | Erin Elizabeth Lensch | Emergency Medicine | 1700 Coffee Rd, Department of Emergency Medicine, Modesto, CA 95355-2803 | 2012-04-11 |
| 1043576531 | Phillip Michael Chan | Emergency Medicine | 1441 Florida Ave, Emergency Department, Modesto, CA 95350-4404 | 2012-04-09 |
| 1144517392 | Stefanie Rathgeb Zarfoss | Emergency Medicine | 4601 Dale Rd, Dept. of Emergency Medicine, Modesto, CA 95356-9718 | 2011-07-07 |
| Find all providers in MODESTO | ||||
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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.