ABELARDO VERCELES MAYO (NPI# 1487610531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487610531 |
| Entity Type | Individual |
| Full Name | ABELARDO VERCELES MAYO |
| Credential | MD |
| Practice Address |
1300 W Lodi Ave Suite P Lodi CA 95242-3000 |
| Mailing Address |
600 Coffee Rd Modesto CA 95355-4201 |
| Practice Telephone | 2093697493 |
| Mailing Telephone | 2095241211 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2010-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A54901 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A549010 | 05 |
| Street Address |
1300 W LODI AVE SUITE P |
| City | LODI |
| State | CA |
| Zip Code | 95242-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829431 | Kevin Irving Stroh | Podiatrist | 1300 W Lodi Ave, Ste W, Lodi, CA 95242-3037 | 2005-05-31 |
| 1316483803 | Anisha Ranchhod Dds, Inc. | Clinic/Center | 1300 W Lodi Ave, Suite M, Lodi, CA 95242-3000 | 2017-01-09 |
| 1336526045 | Michelle Otts | Counselor | 1300 W Lodi Ave, Suite G-2, Lodi, CA 95242-3000 | 2015-05-01 |
| 1962743906 | Alexander Scott Malm | Counselor | 1300 W Lodi Ave, G-2, Lodi, CA 95242-3000 | 2013-03-14 |
| 1619243763 | Preferred Prosthetics Inc | Prosthetic/Orthotic Supplier | 1300 W Lodi Ave, Suite H, Lodi, CA 95242-3000 | 2012-03-22 |
| 1275837742 | Marshall E. Gomes | Dentist | 1300 W Lodi Ave, Suite N, Lodi, CA 95242-3000 | 2010-12-27 |
| 1881820751 | Karen Marie Rangel | Counselor | 1300 W Lodi Ave, Ste-g-2, Lodi, CA 95242-3000 | 2009-06-05 |
| 1417183385 | Alex R Anderson | Counselor | 1300 W Lodi Ave, Suite G-2, Lodi, CA 95242-3000 | 2009-06-05 |
| 1942445440 | David R. Vera Sr. | Orthotist | 1300 W Lodi Ave, Suite H, Lodi, CA 95242-3000 | 2008-12-11 |
| 1053535062 | Valley Community Counseling Services, Inc | Community/Behavioral Health | 1300 W Lodi Ave, Ste G-2, Lodi, CA 95242-3000 | 2007-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417396235 | Rosemary Nunez-davis | Pediatrics | 1901 W Kettleman Ln Ste 200, Lodi, CA 95242-4337 | 2013-06-14 |
| 1952749301 | Nicholas Lerias | Pediatrics | 1511 S Mills Ave, 205w, Lodi, CA 95242-4241 | 2013-06-07 |
| 1497876262 | Nancy Hoff | Pediatrics | 755 S Fairmont Ave, A2, Lodi, CA 95240-4643 | 2007-04-02 |
| 1205839735 | Roy Anunciacion | Pediatrics | 1920 Tienda Dr, Ste 102, Lodi, CA 95242-3930 | 2005-05-30 |
| 1114389137 | Lancy Lu | Pediatrics | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2016-03-29 |
| 1760861801 | Moina Tahnee Snyder | Pediatrics | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2015-05-21 |
| 1457759102 | Emily Daniel | Pediatrics | 975 S Fairmont Ave, Lodi, CA 95240-5179 | 2014-12-11 |
| 1992919823 | Regina Fung Guen Wong | Pediatrics | 2415 W Vine St, Suite 105, Lodi, CA 95242-3731 | 2007-05-10 |
| 1063587616 | Arvinder Kaur Thiara | Pediatrics | 1300 W Lodi Ave, Suite P, Lodi, CA 95242-3000 | 2006-11-21 |
| 1053480780 | Marietta Abellera Sumaquial | Pediatrics | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2182 | 2006-11-07 |
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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.