DOCTORS MEDICAL CENTER OF MODESTO, INC. (NPI# 1710305149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710305149 |
| Entity Type | Organization |
| Organization Name | DOCTORS MEDICAL CENTER OF MODESTO, INC. |
| Other Organization Name | DMC PROFESSIONAL BILLING |
| Practice Address |
1441 Florida Ave Modesto CA 95350 |
| Mailing Address |
1441 Florida Ave Modesto CA 95350-4404 |
| Practice Telephone | 2095781211 |
| Mailing Telephone | 2095781211 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2019-02-22 |
| Authorized Official Name | CRAIG C. ARMIN (VP, GOVT PROGRAMS TENET) |
| Authorized Official Telephone | 3107758040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| DMC Professional Billing | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396087672 | Doctors Medical Center of Modesto, Inc. | General Acute Care Hospital | 825 Delbon Ave, Turlock, CA 95382-2016 | 2013-03-25 |
| 1548399736 | Doctors Medical Center of Modesto, Inc. | Psychiatric Unit | 1501 Claus Rd, Modesto, CA 95355-9711 | 2007-03-05 |
| 1184654923 | Doctors Medical Center of Modesto, Inc. | General Acute Care Hospital | 1441 Florida Ave, Modesto, CA 95350-4405 | 2006-07-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DOCTORS MEDICAL CENTER OF MODESTO, INC. | 1441 Florida Ave, Modesto, CA 95350-4404 |
| Street Address |
1441 FLORIDA AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326044876 | Suhail Rahhal | Internal Medicine | 1441 Florida Ave, Modesto, CA 95350-4404 | 2005-06-21 |
| 1629603667 | Avinesh Prakash | Nurse Practitioner | 1441 Florida Ave, Modesto, CA 95350-4404 | 2020-03-10 |
| 1437784469 | Jose L Bazan | Nurse Practitioner | 1441 Florida Ave, Modesto, CA 95350-4404 | 2020-03-10 |
| 1770117541 | Sydney Edwards | Physician Assistant | 1441 Florida Ave, Modesto, CA 95350-4418 | 2020-03-02 |
| 1003466756 | Jessica Izelle Whipkey | Pharmacy Technician | 1441 Florida Ave, Modesto, CA 95350-4418 | 2019-09-16 |
| 1538715040 | Antoinette Marie Nguyen | Registered Nurse | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-08-12 |
| 1588229637 | Janel Mark | Perfusionist | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-05-03 |
| 1437713799 | Kunal Panwar | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-04-23 |
| 1275196099 | Billy Huynh | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave, Modesto, CA 95350-4418 | 2019-04-17 |
| 1063075067 | Herbert Mao | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-04-16 |
| Find all providers in the same location | ||||
| 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 | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336543925 | Tri-minh Pham Medical Group, Inc | Hospitalist | 3320 Tully Rd, Modesto, CA 95350-0800 | 2014-10-10 |
| 1861845430 | Bharati Meesala | Hospitalist | 600 Coffee Rd, Modesto, CA 95355-4201 | 2016-07-19 |
| 1245692250 | Swathi S.b. Kari | Hospitalist | 600 Coffee Rd, Modesto, CA 95355-4201 | 2016-03-28 |
| 1326482357 | Rebecca Flanagan | Hospitalist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2013-04-21 |
| 1992052799 | Golden Health Inc | Hospitalist | 1303 Mable Ave, Modesto, CA 95355 | 2012-08-10 |
| 1609012285 | Jayanthi Idury | Hospitalist | 4601 Dale Rd, Kaiser Permanente, Modesto, CA 95356-9718 | 2009-01-02 |
| 1730393836 | Arun Manoharan | Hospitalist | 1441 Florida Ave, Modesto, CA 95350-4404 | 2007-05-09 |
| 1841378908 | Julianna M. Bojta | Hospitalist | 1441 Florida Ave, Modesto, CA 95350-4404 | 2006-11-02 |
| 1881772465 | Charanjit S. Bains | Hospitalist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2006-11-01 |
| 1710065206 | Jody Allan S. Junia | Hospitalist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2006-11-01 |
| 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.