RICHARD W. GRATIAN, M.D. (NPI# 1609011469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609011469 |
| Entity Type | Organization |
| Organization Name | RICHARD W. GRATIAN, M.D. |
| Practice Address |
1540 Florida Ave Suite 205 Modesto CA 95350-4430 |
| Practice Telephone | 2095291275 |
| Practice Fax Number | 2095293464 |
| Mailing Telephone | 2095291275 |
| Mailing Fax Number | 2095293464 |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |
| Authorized Official Name | DR. RICHARD WARREN GRATIAN (OWNER) |
| Authorized Official Telephone | 2095291275 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
G36443 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G364430 | 05 |
| Street Address |
1540 FLORIDA AVE SUITE 205 |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-4430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487608477 | Richard Warren Gratian | Pediatrics | 1540 Florida Ave, Ste 205, Modesto, CA 95350-4430 | 2006-05-22 |
| 1255957221 | Nathan Chalk | Counselor | 1540 Florida Ave, Modesto, CA 95350-4430 | 2020-06-24 |
| 1568009629 | Taneaka Koshko-bradley | Case Manager/Care Coordinator | 1540 Florida Ave, Modesto, CA 95350-4430 | 2019-12-06 |
| 1720630197 | James Dean Stalians | Registered Nurse | 1540 Florida Ave, Modesto, CA 95350-4430 | 2019-07-15 |
| 1144746140 | Kristen E. Flack | Registered Nurse | 1540 Florida Ave, Modesto, CA 95350-4430 | 2017-08-21 |
| 1225552284 | Dheera Tamvada | Internal Medicine | 1540 Florida Ave, Modesto, CA 95350-4430 | 2017-08-01 |
| 1952602708 | Wendy Zolczynski | Registered Nurse | 1540 Florida Ave, Ste 100, Modesto, CA 95350 | 2010-11-10 |
| 1366760027 | Talwinderdeep Singh Kahlon | Internal Medicine | 1540 Florida Ave, Suite 100, Modesto, CA 95350-4430 | 2010-05-05 |
| 1265767669 | Melissa Ann Sorensen | Registered Nurse | 1540 Florida Ave, Suite 100, Modesto, CA 95350-4430 | 2009-10-02 |
| 1235361536 | Allyson M Van Horn | Registered Nurse | 1540 Florida Ave, Suite 100, Modesto, CA 95350-4430 | 2009-08-20 |
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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 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487608477 | Richard Warren Gratian | Pediatrics | 1540 Florida Ave, Ste 205, Modesto, CA 95350-4430 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033751540 | Guillermo A. Young, Md Inc | Pediatrics | 1300 N Vermont Ave Ste 402, Los Angeles, CA 90027-6086 | 2019-10-16 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1477019669 | Pediatric Cardiac Center Inc | Pediatrics | 433 Del Norte Ave, Yuba City, CA 95991-4113 | 2019-02-13 |
| 1467885889 | Searle William Turner | Pediatrics | 5351 Avenida Maravillas, #118, Rancho Santa Fe, CA 92067-0118 | 2013-08-21 |
| 1245505866 | Pediatrix Cardiology of Orange County, P.C. | Pediatrics | 1010 W. La Veta Ave, Suite 575, Orange, CA 92868-4305 | 2012-03-15 |
| 1346511235 | Apichai Khongphatthanayothin | Pediatrics | 2020 Zonal Ave, Ird Room 111, Los Angeles, CA 90033 | 2012-01-24 |
| 1881985349 | Sanjay P Sinha | Pediatrics | 1140 W La Veta Ave Ste 750, Orange, CA 92868-4217 | 2011-05-02 |
| 1346531787 | Cassandra Hing-jen Sung | Pediatrics | 350 E Vanderbilt Way Ste A, San Bernardino, CA 92408 | 2011-04-19 |
| 1215258124 | Alexander Lowenthal | Pediatrics | 505 Parnassus Ave Rm 1235, San Francisco, CA 94143-2204 | 2010-06-15 |
| 1518283134 | Susanna Tran | Pediatrics | 50 Bellefontaine St Ste 405, Pasadena, CA 91105-3132 | 2010-04-08 |
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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.