DR. CHESTER MCBRIDE BOLTWOOD JR. (NPI# 1669415303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669415303 |
Entity Type | Individual |
Full Name | DR. CHESTER MCBRIDE BOLTWOOD JR. |
Credential | MD |
Practice Address |
4603 Dale Rd Kaiser Permanente Medical Offices Modesto CA 95357-7680 |
Mailing Address |
4601 Dale Rd Modesto CA 95357-7680 |
Practice Telephone | 2097354287 |
Practice Fax Number | 2097354283 |
Mailing Telephone | 2097354287 |
Mailing Fax Number | 2097354283 |
Enumeration Date | 2006-06-13 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G35042 | CA | Allopathic & Osteopathic Physicians |
X | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
G35042 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | ZZZ76734Z | 05 |
Street Address |
4603 DALE RD KAISER PERMANENTE MEDICAL OFFICES |
City | MODESTO |
State | CA |
Zip Code | 95357-7680 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417280892 | Brighter Futures Therapeutic Learning Center | Occupational Therapist | 4715 Yosemite Boulevard, Modesto, CA 95357 | 2009-09-16 |
1205976859 | Jeffery R Anderson | Chiropractor | 3609 Oakdale Rd Ste 5, Modesto, CA 95357 | 2007-02-06 |
1881647360 | Paul W Embree | Surgery | 4543 Roselle Av, Modesto, CA 95357 | 2006-05-18 |
1124664461 | Michelle Sullivan | Speech-Language Pathologist | 4715 Yosemite Boulevard, Modesto, CA 95357 | 2019-11-21 |
1558691030 | John William Hill | Chiropractor | 3609 Oakdale Rd, Modesto, CA 95357 | 2010-01-06 |
1538529938 | Communication Station, Inc | Speech-Language Pathologist | 4605 Via Giardiano, Modesto, CA 95357-0661 | 2016-02-26 |
1801307491 | Brittany H Vass | Occupational Therapist | 4605 Via Giardiano, Modesto, CA 95357-0661 | 2017-10-23 |
1487015202 | Olga Christina De Leon | Speech-Language Pathologist | 4605 Via Giardiano, Modesto, CA 95357-0661 | 2016-03-08 |
1881239622 | Christian Buck | Registered Nurse | 4605 Via Altura, Modesto, CA 95357-0667 | 2019-11-15 |
1134261050 | Larry Cooper King | Hearing Instrument Specialist | 3520 Oakdale Rd. Ste. B, Modesto, CA 95357-0714 | 2007-02-14 |
Find all providers in zip 95357 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972550150 | Shewit K Weldetensae | Internal Medicine | 1540 Florida Ave 100, Modesto, CA 95350-4430 | 2006-05-31 |
1063469245 | Satnam Singh Ludder | Internal Medicine | 1540 Florida Ave Ste 100, Modesto, CA 95350-4430 | 2006-05-31 |
1386615631 | Walter W Chien | Internal Medicine | 2013 Coffee Rd, Modesto, CA 95355-2405 | 2006-01-26 |
1568445534 | Isao Jack Tsuji | Internal Medicine | 1401 Spanos Court, Ste 230, Modesto, CA 95355-7813 | 2005-11-23 |
1144695958 | Sutter Valley Medical Foundation | Internal Medicine | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2015-12-04 |
1164734489 | Mutahir Ubaid Khan | Internal Medicine | 1401 Spanos Ct, Suite 230, Modesto, CA 95355-2810 | 2010-07-02 |
1134364334 | Emad S Najjar | Internal Medicine | 1540 Florida Ave, Modesto, CA 95350-4430 | 2008-12-03 |
1174785695 | Anant K Vyas | Internal Medicine | 1540 Florida Ave Ste 100, Modesto, CA 95350-4430 | 2008-06-26 |
1720292733 | Western Associates In Surgery | Internal Medicine | 2209 Coffee Road, Suite M, Modesto, CA 95355 | 2007-05-09 |
1073680971 | Navneet K. Dullet | Internal Medicine | 1540 Florida Ave Ste 100, Modesto, CA 95350-4430 | 2006-11-29 |
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.