CARLSON, HANSEN, KWON-HONG, MDS (NPI# 1568543783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568543783 |
| Entity Type | Organization |
| Organization Name | CARLSON, HANSEN, KWON-HONG, MDS |
| Practice Address |
1213 Coffee Rd Suite A Modesto CA 95355-4229 |
| Mailing Address |
5101 Mesa Dr Oakdale CA 95361-7858 |
| Practice Telephone | 2095499900 |
| Mailing Telephone | 2098488903 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES M CARLSON (MANAGING PARTNER) |
| Authorized Official Telephone | 2095499900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G27090 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1213 COFFEE RD SUITE A |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-4229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023017225 | David Aaron Woodruff | Dentist | 1213 Coffee Rd, Suite K, Modesto, CA 95355-4229 | 2005-07-19 |
| 1548646839 | Edwin Y. Josephs Dds, Inc | Dentist | 1213 Coffee Rd, Ste. J, Modesto, CA 95355-4229 | 2015-08-10 |
| 1427391044 | Amanda Pearl Farley | Dentist | 1213 Coffee Rd, Suite C, Modesto, CA 95355-4229 | 2013-04-02 |
| 1366713018 | Betty Kilpatrick Hansen | Marriage & Family Therapist | 1213 Coffee Rd, Suite P, Modesto, CA 95355-4229 | 2012-01-25 |
| 1225320211 | Kelly Gaines | Family Medicine | 1213 Coffee Rd, Modesto, CA 95355-4229 | 2011-05-09 |
| 1568654986 | Brian Kelly Hutto | Dentist | 1213 Coffee Rd, Suite D, Modesto, CA 95355-4229 | 2007-08-10 |
| 1629293618 | Jack Robert Holt | Dentist | 1213 Coffee Rd, Suite M, Modesto, CA 95355-4229 | 2007-04-16 |
| 1821110586 | Meridith Mccurdy-yeoman | Physician Assistant | 1213 Coffee Rd, Modesto, CA 95355-4229 | 2007-04-04 |
| 1598886178 | George J Di Cristina | Dentist | 1213 Coffee Rd, Suite J, Modesto, CA 95355-4229 | 2007-04-02 |
| 1073639043 | Sylvia Diane Victor | Marriage & Family Therapist | 1213 Coffee Rd, Suite P, Modesto, CA 95355-4229 | 2007-03-22 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091126 | Silvia Diego Md Inc A Professional Medical Corp | Family Medicine | 1317 Oakdale Rd Ste 100, Modesto, CA 95355-3362 | 2020-10-19 |
| 1104393362 | Binh T Dang Md Inc | Family Medicine | 2209 Coffee Rd Ste I, Modesto, CA 95355-2360 | 2018-10-25 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1164957486 | Progressive Urgent Care Inc | Family Medicine | 801 17th St, Modesto, CA 95354-1243 | 2017-04-24 |
| 1881039873 | Sabrina Arora-thissen | Family Medicine | 401 Paradise Rd. Ste, Modesto, CA 95351 | 2013-05-03 |
| 1467725473 | James L Stanton, Md Inc | Family Medicine | 200 B1 West Roseburg Avenue, Modesto, CA 95350 | 2012-02-22 |
| 1154698447 | Shashi .t Sood M.d., Inc | Family Medicine | 1401 Spanos Ct Ste 110, Modesto, CA 95355-2812 | 2011-11-30 |
| 1639408362 | Charlie Walker | Family Medicine | 1320 Celeste Drive, Modesto, CA 95355 | 2009-12-08 |
| 1871783142 | Jose Limon M.d. Inc. | Family Medicine | 1809 Bumgardner Ct, Modesto, CA 95355-9295 | 2007-08-01 |
| 1437375094 | Christianne Bishop | Family Medicine | 600 Coffee Road, Sutter Gould Medical Foundation, Modesto, CA 95355 | 2007-04-18 |
| 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.