DR. PRATIBHA PATIL (NPI# 1609251925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609251925 |
| Entity Type | Individual |
| Full Name | DR. PRATIBHA PATIL |
| Credential | MD |
| Practice Address |
1510 Florida Ave Modesto CA 95350 |
| Mailing Address |
737 W Childs Ave Merced CA 95341-6805 |
| Practice Telephone | 2095497090 |
| Practice Fax Number | 2095497099 |
| Mailing Telephone | 2093831848 |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A154869 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1510 FLORIDA AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306828868 | Eunice M. Baluyot | Family Medicine | 1510 Florida Ave, H, Modesto, CA 95350-4437 | 2005-11-18 |
| 1326601568 | Monique Bertulfo | Registered Nurse | 1510 Florida Ave, Modesto, CA 95350-4437 | 2019-04-14 |
| 1922577154 | Anna Elizabeth Donovan | Registered Nurse | 1510 Florida Ave, Modesto, CA 95350-4437 | 2018-11-16 |
| 1821563073 | Amaechi George Ozor | Registered Nurse | 1510 Florida Ave, Modesto, CA 95350-4437 | 2018-10-03 |
| 1174021521 | Charina Gellaco Quiambao | Nurse Practitioner | 1510 Florida Ave, Modesto, CA 95350-4437 | 2018-01-30 |
| 1063877561 | Angelina Yolanda Santillan | Social Worker | 1510 Florida Ave, Modesto, CA 95350-4437 | 2015-12-28 |
| 1437527348 | Sushma Indukuri | Pediatrics | 1510 Florida Ave, Modesto, CA 95350-4437 | 2015-09-09 |
| 1093133035 | Heather Lee | Pediatrics | 1510 Florida Ave, Modesto, CA 95350-4437 | 2014-04-05 |
| 1982037271 | Conalu Liwag Bernardino | Pediatrics | 1510 Florida Ave, Modesto, CA 95350-4437 | 2013-08-09 |
| 1689014821 | Aparna Yadatore | Pediatrics | 1510 Florida Ave, Modesto, CA 95350-4437 | 2013-07-02 |
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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 | 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 |
|---|---|---|---|---|
| 1922569698 | Andrea Marie Peterson | Pediatrics | 1917 Lakeshore Dr, Modesto, CA 95355-1869 | 2019-03-26 |
| 1679025837 | Marcella Murphy | Pediatrics | 2904 Century Pl, Modesto, CA 95355-8736 | 2016-11-03 |
| 1619008661 | Mohammad Javaid Bhatti | Pediatrics | 1325 Blakely Ln, Modesto, CA 95356-8984 | 2007-03-08 |
| 1528103330 | Pamela A Zachar | Pediatrics | Doctors Medical Center, 1441 Florida Avenue, Modesto, CA 95350 | 2007-02-20 |
| 1972642239 | Javier Valero Fonseca | Pediatrics | 1524 Mchenry Ave Ste 570, Modesto, CA 95350-4574 | 2007-02-05 |
| 1285729830 | Rosy Shah | Pediatrics | 700 17th Street, Modesto, CA 95354 | 2006-10-03 |
| 1518991983 | Armand Richaud Hernandez | Pediatrics | 1329 Spanos Ct Ste C4, Modesto, CA 95355-2806 | 2006-07-10 |
| 1982660122 | Yvonne J Brouard | Pediatrics | 1144 Coffee Rd, Modesto, CA 95355-4205 | 2006-04-25 |
| 1679555213 | Antonio E. Apellanes | Pediatrics | 2101 Tenaya Dr, Modesto, CA 95354-3930 | 2005-11-18 |
| 1588646004 | Anuradha Dubey | Pediatrics | 4312 Spyres Way, Modesto, CA 95356-9259 | 2005-11-18 |
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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.