NATIONWIDE MEDICAL GROUP, INC (NPI# 1740337120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740337120 |
| Entity Type | Organization |
| Organization Name | NATIONWIDE MEDICAL GROUP, INC |
| Practice Address |
103 Modesto Ave Modesto CA 95354-0414 |
| Mailing Address |
7246 Remmet Ave Canoga Park CA 91303-1531 |
| Practice Telephone | 2095274597 |
| Practice Fax Number | 2095274599 |
| Mailing Telephone | 8182060360 |
| Mailing Fax Number | 8182060383 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-04-15 |
| Authorized Official Name | DR. GEORGE GIRGIS (DIRECTOR) |
| Authorized Official Telephone | 6618619967 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR008716C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578614525 | Nationwide Medical Group, Inc | Clinic/Center | 1343 W Main Street, Suites A&b, Merced, CA 95340-4438 | 2007-01-16 |
| 1174671549 | Nationwide Medical Group, Inc | Clinic/Center | 6500 Morro Rd Ste D, Atascadero, CA 93422-4142 | 2007-01-08 |
| 1538216916 | Nationwide Medical Group, Inc | Clinic/Center | 125 West F Street, Suite 101, Ontario, CA 91762-3262 | 2007-01-05 |
| 1699822098 | Nationwide Medical Group, Inc | Clinic/Center | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2007-01-05 |
| 1760539183 | Nationwide Medical Group, Inc | Clinic/Center | 1825 E Thelborn Street, West Covina, CA 91791 | 2007-01-05 |
| 1578610986 | Nationwide Medical Group, Inc | Clinic/Center | 2650 Jones Way Suite 10, Simi Valley, CA 93065-1203 | 2007-01-05 |
| 1851448435 | Nationwide Medical Group, Inc | Clinic/Center | 14240 E Imperial Hwy, La Mirada, CA 90638-1940 | 2007-01-04 |
| 1952458523 | Nationwide Medical Group, Inc | Clinic/Center | 614 W Manchester Blvd Ste 104, Inglewood, CA 90301-1683 | 2007-01-04 |
| 1629125059 | Nationwide Medical Group, Inc | Clinic/Center | 2321 Pontius Ave, Los Angeles, CA 90064-1809 | 2007-01-05 |
| 1710034103 | Nationwide Medical Group, Inc | Clinic/Center | 1050 N Garey Ave, Pomona, CA 91767-3802 | 2007-01-05 |
| Street Address |
103 MODESTO AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-0414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538229638 | David Lyon | Internal Medicine | 103 Modesto Ave, Modesto, CA 95354-0414 | 2006-12-11 |
| 1902226665 | Ernie N Jacobson | Counselor | 103 Modesto Ave, Modesto, CA 95354-0414 | 2014-04-21 |
| 1619303807 | Susan Laurie Lawson | Counselor | 103 Modesto Ave, Modesto, CA 95354-0414 | 2013-09-19 |
| 1568895951 | Aman Jeet Singh | Counselor | 103 Modesto Ave, Modesto, CA 95354-0414 | 2013-08-21 |
| 1437596319 | Devon Michael Digges | Counselor | 103 Modesto Ave, Modesto, CA 95354-0414 | 2013-05-31 |
| 1659717494 | Aegis Treatment Centers, LLC | Clinic/Center | 103 Modesto Ave, Modesto, CA 95354-0414 | 2013-05-20 |
| 1861732794 | Michele Keehley | Counselor | 103 Modesto Ave, Modesto, CA 95354-0414 | 2013-03-01 |
| 1710240726 | Miesha Renee Gammage | Counselor | 103 Modesto Ave, Modesto, CA 95354-0414 | 2012-06-25 |
| 1437436938 | Lynnetta Hawkins | Counselor | 103 Modesto Ave, Modesto, CA 95354-0414 | 2011-11-11 |
| 1275816860 | Sarah Lenora Miller | Counselor | 103 Modesto Ave, Modesto, CA 95354-0414 | 2011-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| Find all providers in zip 95354 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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|---|---|---|---|---|
| 1083863740 | Debra Lee Decambra | Clinic/Center | 1510 Florida Ave Ste H, Modesto, CA 95350-4437 | 2008-09-17 |
| 1154375624 | Planned Parenthood Mar Monte, Inc | Clinic/Center | 1431 Mchenry Ave, Suite 100, Modesto, CA 95350-4541 | 2006-05-20 |
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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.