DAVIS MOINDI OPENDA


Address: 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122
Phone: 2092487168

DAVIS MOINDI OPENDA (NPI# 1497147409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497147409
Entity Type Individual
Full Name DAVIS MOINDI OPENDA
Credential N.P.
Practice Address 1552 Coffee Rd Ste 200
Modesto
CA 95355-3122
Practice Telephone 2092487168
Practice Fax Number 2098469641
Mailing Telephone (209) 248-7168
Mailing Fax Number 2098469641
Enumeration Date 2015-02-27
Last Update Date 2017-06-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 95005007 CA Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner AG0814094 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1552 COFFEE RD STE 200
City MODESTO
State CA
Zip Code 95355-3122

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063479301 Patrick James Coates Surgery 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 2006-04-28
1487289625 Ashley Shiyuan Chang Physician Assistant 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 2020-03-09
1922642784 Mary Angelle-cargill Nurse Practitioner 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 2019-11-04
1467095729 Katie Ann Ott Dietitian, Registered 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 2019-10-18
1447743943 Tyler James Soga Nurse Practitioner 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 2018-06-08
1326547266 Felicia M Agibi Psychologist 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 2018-02-06
1447779889 Bernarde Mangebi Udo Nurse Practitioner 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 2017-09-18
1639690845 Lorena Behrmann Nurse Practitioner 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 2017-06-28
1982050100 Lynda Sosa-lowry Psychologist 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 2016-05-06
1407297252 Tinu Xavier Nurse Practitioner 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 2013-07-09
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467051391 Careforyou LLC Nurse Practitioner 806 14th St, Modesto, CA 95354-1023 2020-10-21
1114561818 Calmglow, Inc Nurse Practitioner 1120 13th St Ste B, Modesto, CA 95354-0950 2019-11-05
1851865158 Christine Magidie Dumayas Roque Nurse Practitioner 1552 Coffee Road, Suite 200, Modesto, CA 95355-3122 2019-01-20
1043533417 Dianne Michelle Hinton Nurse Practitioner 1724 G. Street, Modesto, CA 95354 2010-03-12
1003999137 Lois Elaine Lewis Nurse Practitioner 205 W Granger Ave, Modesto, CA 95350 2006-10-23
1770690612 Roxanne O. Garbez Nurse Practitioner 1700 Coffee Road, Modesto, CA 95355-2803 2006-08-24
1326001157 Larry L. Kilgore Nurse Practitioner 401 E Paradise Road, Modesto, CA 95351 2006-04-11
1629031042 Lisa Eppers Nurse Practitioner 700 17th St, Modesto, CA 95354-1209 2006-04-07
1578547725 Maureen Elhard Freeman Nurse Practitioner 401 E Paradise Rd, Paradise Medical Office, Modesto, CA 95351 2005-12-01
1124639315 Barbara Cummins Nurse Practitioner 3509 Coffee Rd, Modesto, CA 95355-1356 2020-08-12
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Competitor

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City MODESTO
Zip Code 95355

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Dataset Information

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.

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