JOSE GERARDO ALBERTO (NPI# 1780945766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780945766 |
| Entity Type | Individual |
| Full Name | JOSE GERARDO ALBERTO |
| Credential | M.D. |
| Practice Address |
600 Coffee Rd Modesto CA 95355-4201 |
| Practice Telephone | (209) 521-6097 |
| Mailing Telephone | (209) 521-6097 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A133124 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | A133124 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | CA158831 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2412 3rd St, Hughson, CA 953269310 | 2095587250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447434832 | Jose Alberto | Dentist | 1507 Lyons Rd, Coconut Creek, FL 33063-3934 | 2007-12-21 |
| 1215307780 | Jose Alberto | Counselor | 7442 W 34th Ln, Hialeah, FL 33018-1796 | 2015-09-28 |
| 1063647220 | Jose Alberto | Massage Therapist | 2760 N Academy Blvd, #135, Colorado Springs, CO 80917-5324 | 2009-05-18 |
| Street Address |
600 COFFEE RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073517751 | Kishore K. Kalluri | Internal Medicine | 600 Coffee Rd, Modesto, CA 95355-4201 | 2005-06-09 |
| 1508405622 | Erica Corral-ruiz | Registered Nurse | 600 Coffee Rd, Modesto, CA 95355-4201 | 2020-01-06 |
| 1598324519 | Cierra Coffman | Physician Assistant | 600 Coffee Rd, Modesto, CA 95355-4201 | 2019-06-12 |
| 1053879932 | Anitha Choorakulam George | Nurse Practitioner | 600 Coffee Rd, Modesto, CA 95355-4201 | 2019-03-09 |
| 1154852994 | Simran Kaur Bains | Internal Medicine | 600 Coffee Rd, Modesto, CA 95355-4201 | 2017-03-23 |
| 1891246153 | Pacific Infectious Diseases, Inc. | Internal Medicine | 600 Coffee Rd, Modesto, CA 95355-4201 | 2016-10-20 |
| 1497108062 | Palvasha Shah | Internal Medicine | 600 Coffee Rd, Modesto, CA 95355 | 2016-07-19 |
| 1861845430 | Bharati Meesala | Hospitalist | 600 Coffee Rd, Modesto, CA 95355-4201 | 2016-07-19 |
| 1376999672 | David William Lowry | Internal Medicine | 600 Coffee Rd, Modesto, CA 95355-4201 | 2016-05-05 |
| 1245692250 | Swathi S.b. Kari | Hospitalist | 600 Coffee Rd, Modesto, CA 95355-4201 | 2016-03-28 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942664552 | Carolyn Robin Lanam | Emergency Medicine | 1601 Cummins Dr Ste D, Modesto, CA 95358-6411 | 2016-04-09 |
| 1821288739 | Darrell Jack Names | Emergency Medicine | 1904 Laurel Oak Dr, Modesto, CA 95354-1627 | 2007-07-26 |
| 1487662631 | Clair L. Pettinger | Emergency Medicine | 4707 Greenleaf Ct, Suite A, Modesto, CA 95356-8733 | 2006-08-04 |
| 1619919735 | Joseph Charles Dagostino | Emergency Medicine | 700 Coffee Rd, Memorial Med Ctr, Modesto, CA 95355 | 2006-06-12 |
| 1003812751 | John Joseph Gallo | Emergency Medicine | 3800 Dale Rd, Modesto, CA 95356-8627 | 2005-06-27 |
| 1538424296 | Sara Khaghani | Emergency Medicine | 4601 Dale Rd, Modesto, CA 95356-9718 | 2012-07-09 |
| 1417217993 | Ranti Sherifat Bolaji | Emergency Medicine | 1441 Florida Ave, Modesto, CA 95350-4404 | 2012-05-18 |
| 1811253198 | Erin Elizabeth Lensch | Emergency Medicine | 1700 Coffee Rd, Department of Emergency Medicine, Modesto, CA 95355-2803 | 2012-04-11 |
| 1043576531 | Phillip Michael Chan | Emergency Medicine | 1441 Florida Ave, Emergency Department, Modesto, CA 95350-4404 | 2012-04-09 |
| 1144517392 | Stefanie Rathgeb Zarfoss | Emergency Medicine | 4601 Dale Rd, Dept. of Emergency Medicine, Modesto, CA 95356-9718 | 2011-07-07 |
| 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.