VALLEY ASSOCIATED UROLOGY MEDICAL GROUP INC (NPI# 1770520595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770520595 |
| Entity Type | Organization |
| Organization Name | VALLEY ASSOCIATED UROLOGY MEDICAL GROUP INC |
| Practice Address |
1541 Florida Ave Ste 100 Modesto CA 95350-4429 |
| Mailing Address |
1541 Florida Ave Ste 306 Modesto CA 95350-4429 |
| Practice Telephone | 2095210870 |
| Practice Fax Number | 2095210398 |
| Mailing Telephone | 2095210870 |
| Mailing Fax Number | 2095210398 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-09-13 |
| Authorized Official Name | MR. GERALD BOYAJIAN (CHIEF ADMINISTRATOR) |
| Authorized Official Telephone | 2095210870 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0066260 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821028374 | Valley Associated Urology Medical Group Inc | Urology | 1000 Delbon Ave, Ste 2, Turlock, CA 95380 | 2006-07-03 |
| 1972548246 | Valley Associated Urology Medical Group Inc | Urology | 1415 W H St, Ste 1, Oakdale, CA 95361-3531 | 2006-06-19 |
| Street Address |
1541 FLORIDA AVE STE 100 |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-4429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811980105 | Uzay Yasar | Urology | 1541 Florida Ave, Suite 100, Modesto, CA 95350-4423 | 2005-08-23 |
| 1457772584 | First Choice Physician Partners | Clinic/Center | 1541 Florida Ave, #101, Modesto, CA 95350-4429 | 2013-12-16 |
| 1326385659 | Deval Bhatt | Internal Medicine | 1541 Florida Ave, Ste 200, Modesto, CA 95350-4429 | 2013-01-07 |
| 1679831291 | First Choice Physician Partners | Family Medicine | 1541 Florida Ave, Ste 100, B, Modesto, CA 95350-4429 | 2012-05-02 |
| 1235497850 | First Choice Physician Partners | General Practice | 1541 Florida Ave, Ste 200, Modesto, CA 95350-4429 | 2012-05-02 |
| 1215294160 | First Choice Physician Partners | Urology | 1541 Florida Ave, Ste 100, Modesto, CA 95350-4429 | 2012-04-17 |
| 1588921431 | First Choice Physician Partners | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1541 Florida Ave, Ste 103, Modesto, CA 95350-4429 | 2012-04-17 |
| 1477810323 | First Choice Physician Partners | Otolaryngology | 1541 Florida Ave, Ste 304, Modesto, CA 95350-4429 | 2012-04-17 |
| 1659645810 | Sokea P Kiep | Registered Nurse | 1541 Florida Ave, Suite 306, Modesto, CA 95350-4429 | 2012-03-05 |
| 1447539374 | Northern California Cancer Center | Internal Medicine | 1541 Florida Ave, Suite 306, Modesto, CA 95350-4429 | 2011-08-09 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811980105 | Uzay Yasar | Urology | 1541 Florida Ave, Suite 100, Modesto, CA 95350-4423 | 2005-08-23 |
| 1972986461 | Hailiu Yang | Urology | 600 Coffee Rd, Modesto, CA 95355-4201 | 2015-07-02 |
| 1215294160 | First Choice Physician Partners | Urology | 1541 Florida Ave, Ste 100, Modesto, CA 95350-4429 | 2012-04-17 |
| 1992958383 | Steven R Wunschel Md Inc | Urology | 500 Coffee Road, C, Modesto, CA 95355 | 2008-10-29 |
| 1982721718 | Alexander H Liu | Urology | 1541 Florida Ave, Suite 200, Modesto, CA 95350-4429 | 2007-03-25 |
| 1265510176 | Preetinder K. Brar | Urology | 4601 Dale Rd, Modesto, CA 95356-9718 | 2006-11-01 |
| 1598847493 | Steven R Wunschel Md | Urology | 1401 Spanos Court, 111, Modesto, CA 95355 | 2006-10-19 |
| 1912096264 | Lori Beth Schlunt Rawson | Urology | 4601 Dale Rd, Modesto, Modesto, CA 95356-9718 | 2006-10-12 |
| 1467463422 | Anvita Sinha | Urology | 600 Coffee Rd, Modesto, CA 95355-4201 | 2006-08-11 |
| 1215948922 | Walter J Schimon | Urology | 600 Coffee Rd, Modesto, CA 95355-4201 | 2006-08-10 |
| 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.