DR. JASON MARSHALL HIATT (NPI# 1760580310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760580310 |
| Entity Type | Individual |
| Full Name | DR. JASON MARSHALL HIATT |
| Credential | DPM |
| Practice Address |
1401 Spanos Ct Suite 104 Modesto CA 95355-2810 |
| Mailing Address |
Po Box 4512 Walnut Creek CA 94596-0512 |
| Practice Telephone | 2095253150 |
| Practice Fax Number | 2095253153 |
| Mailing Telephone | 9259343536 |
| Mailing Fax Number | 9259340672 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2009-04-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
E4350 | CA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E4350 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E43500 | 05 | |
| CA | BLUE SHIELD | 000E43500 | 01 |
| CA | RAILROAD MEDICARE | 480033874 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053418087 | Jason Travis Hiatt | Physical Therapist | 1952 Aberdeen Ct, Sycamore, IL 60178-3175 | 2006-09-20 |
| Street Address |
1401 SPANOS CT SUITE 104 |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124020102 | H Rand Tolboe | Podiatrist | 1401 Spanos Ct, Suite 104, Modesto, CA 95355-2810 | 2005-08-10 |
| 1205372281 | Rochelle Thangalan | Nurse Practitioner | 1401 Spanos Ct, Suite 130, Modesto, CA 95355-2810 | 2017-01-13 |
| 1831634708 | Jennifer Amponsah Dion-gokan | Registered Nurse | 1401 Spanos Ct, Suite 130, Modesto, CA 95355-2810 | 2016-12-30 |
| 1184047813 | H. Rand Tolboe, D.p.m. | Podiatrist | 1401 Spanos Ct, Suite 104, Modesto, CA 95355-2810 | 2014-01-31 |
| 1629317326 | Healthnhealing Inc | Specialist | 1401 Spanos Ct, Suite 108, Modesto, CA 95355-2810 | 2013-01-31 |
| 1033471867 | Central Valley Radiation Oncology | Clinic/Center | 1401 Spanos Ct, Modesto, CA 95355-2810 | 2012-06-07 |
| 1164734489 | Mutahir Ubaid Khan | Internal Medicine | 1401 Spanos Ct, Suite 230, Modesto, CA 95355-2810 | 2010-07-02 |
| 1467772228 | Duggal Medical Corp | Family Medicine | 1401 Spanos Ct, Suite #205, Modesto, CA 95355-2810 | 2010-06-03 |
| 1750517231 | Amrith Jamoona | Neurological Surgery | 1401 Spanos Ct, Suite 130, Modesto, CA 95355-2810 | 2009-06-10 |
| 1083876551 | Regina Marie Singh | Clinical Nurse Specialist | 1401 Spanos Ct, Suite 103, Modesto, CA 95355-2810 | 2008-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861912438 | Michael Medhat Daniel | Podiatrist | 1213 Coffee Rd Ste A, Modesto, CA 95355-4229 | 2017-06-23 |
| 1669797668 | Christian Rand Tolboe | Podiatrist | 1401 Spanos Ct Ste 104, Modesto, CA 95355-2811 | 2010-04-01 |
| 1720041957 | David I Wells | Podiatrist | 1541 Florida Ave Ste 103, Modesto, CA 95350-4438 | 2006-04-10 |
| 1124020102 | H Rand Tolboe | Podiatrist | 1401 Spanos Ct, Suite 104, Modesto, CA 95355-2810 | 2005-08-10 |
| 1255871125 | Tolboe Foot & Ankle, Inc., A Podiatric Medical Corporation | Podiatrist | 1401 Spanos Court, Suite #104, Modesto, CA 95355-2811 | 2017-02-27 |
| 1689057572 | David Paxton | Podiatrist | 1401 Spanos Ct Ste 104, Modesto, CA 95355 | 2015-07-09 |
| 1457749939 | Brent Ricks Dpm | Podiatrist | 1601 Mchenry Village Way Ste 3, Modesto, CA 95350-4338 | 2015-01-06 |
| 1184047813 | H. Rand Tolboe, D.p.m. | Podiatrist | 1401 Spanos Ct, Suite 104, Modesto, CA 95355-2810 | 2014-01-31 |
| 1790034320 | Crystal Sheng-shan Hsu | Podiatrist | 1510 Florida Ave, Modesto, CA 95350-4437 | 2012-08-29 |
| 1821309295 | Brent Christopher Ricks | Podiatrist | 1601 Mchenry Village Way Ste 3, Modesto, CA 95350-4338 | 2010-06-30 |
| Find all providers in MODESTO | ||||
Please comment or provide details below to improve the information on DR. JASON MARSHALL HIATT.
| 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.