MITRA DELSHAD (NPI# 1659735637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659735637 |
| Entity Type | Individual |
| Full Name | MITRA DELSHAD |
| Practice Address |
3125 Conant Ave Modesto CA 95350-6527 |
| Practice Telephone | 2095241668 |
| Practice Fax Number | 2095240014 |
| Mailing Telephone | 2095241668 |
| Mailing Fax Number | 2095240014 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2018-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 123438 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
95004787 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
A004603 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8060 Counts Massie Rd, Maumelle, AR 721136657 | 5017910198 | 5013151720 |
| Street Address |
3125 CONANT AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-6527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174540520 | Jordan De-paz | Family Medicine | 3125 Conant Ave, Modesto, CA 95350-6527 | 2006-07-15 |
| 1205193158 | First Choice Physician Partners | General Practice | 3125 Conant Ave, Modesto, CA 95350-6527 | 2012-04-17 |
| 1033489307 | Greater Modesto Medical Surgical Associates, Inc. | Family Medicine | 3125 Conant Ave, Modesto, CA 95350-6527 | 2012-01-04 |
| 1871880419 | Denise T Trinh | Family Medicine | 3125 Conant Ave, Modesto, CA 95350-6527 | 2011-07-04 |
| 1104065788 | Doctors Primary Care of Modesto, Inc. | Family Medicine | 3125 Conant Ave, Modesto, CA 95350-6527 | 2009-02-05 |
| 1831116714 | Adrian Eric Ramos | Family Medicine | 3125 Conant Ave, Modesto, CA 95350-6527 | 2006-07-16 |
| 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 | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| 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 |
| 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.