SUTTER GOULD MEDICAL FOUNDATION (NPI# 1801843750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801843750 |
| Entity Type | Organization |
| Organization Name | SUTTER GOULD MEDICAL FOUNDATION |
| Other Organization Name | SYLVAN EYE CARE CENTER |
| Practice Address |
1011 Sylvan Ave #c Modesto CA 95350-1692 |
| Mailing Address |
600 Coffee Rd Modesto CA 95355-4201 |
| Practice Telephone | 2095504780 |
| Mailing Telephone | 2095241211 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEVEN A MITNICK (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2095216097 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR000587C | 05 |
| Other Name | Type Code |
|---|---|
| Sylvan Eye Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235576885 | Sutter Gould Medical Foundation | Pharmacist | 2160 Encinal Ave, Alameda, CA 94501-4322 | 2013-05-22 |
| 1316190796 | Sutter Gould Medical Foundation | Clinic/Center | 8011 Don Ave, Stockton, CA 95209 | 2008-10-29 |
| 1104083377 | Sutter Gould Medical Foundation | Radiology | 3585 Gorge Pl, Carlsbad, CA 92010-7083 | 2008-05-16 |
| 1124068879 | Sutter Gould Medical Foundation | Family Medicine | 800 Douglas Rd, Stockton, CA 95207-3607 | 2006-06-08 |
| 1316993611 | Sutter Gould Medical Foundation | Radiology | 3846 Cascadia Ave S, Seattle, WA 98118-1129 | 2006-05-26 |
| 1528362050 | Sutter Gould Medical Foundation | Clinic/Center | 415 E Harding Way, Suite E, Stockton, CA 95204-6118 | 2010-12-23 |
| 1588803373 | Sutter Gould Medical Foundation | Clinic/Center | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2009-02-18 |
| 1285886515 | Sutter Gould Medical Foundation | Clinical Medical Laboratory | 600 Coffee Rd, Modesto, CA 95355-4201 | 2008-10-17 |
| 1154352771 | Sutter Gould Medical Foundation | Internal Medicine | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2006-07-05 |
| 1982648580 | Sutter Gould Medical Foundation | Family Medicine | 1335 S Fairmont Ave, Lodi, CA 95240-5520 | 2006-06-15 |
| Street Address |
1011 SYLVAN AVE #C |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-1692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346239803 | Anthony James Guida | Ophthalmology | 1011 Sylvan Ave, Modesto, CA 95350-1692 | 2005-10-18 |
| 1194084517 | On-tat Lee | Ophthalmology | 1011 Sylvan Ave, Modesto, CA 95350 | 2012-05-04 |
| 1487839379 | Sylvan Eye Associates | Ophthalmology | 1011 Sylvan Ave, Modesto, CA 95350-1692 | 2008-01-09 |
| 1225173917 | Deborah Ellen Steinberg | Optometrist | 1011 Sylvan Ave, Suite A, Modesto, CA 95350-1692 | 2007-02-20 |
| 1225181399 | Brian S Fechter | Ophthalmology | 1011 Sylvan Ave, C, Modesto, CA 95350-1692 | 2007-01-19 |
| 1912089061 | Kevin L Craig | Ophthalmology | 1011 Sylvan Ave, #c, Modesto, CA 95350-1692 | 2006-10-19 |
| 1962590596 | Galen E Winegardner | Ophthalmology | 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1692 | 2006-10-10 |
| 1003843087 | Ronald F Janda | Optometrist | 1011 Sylvan Ave, Ste. A, Modesto, CA 95350-1692 | 2006-06-27 |
| 1477502342 | Ross B Redding | Optometrist | 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1692 | 2006-05-09 |
| 1952359259 | John A Latham | Ophthalmology | 1011 Sylvan Ave, Suite # C, Modesto, CA 95350-1692 | 2006-05-05 |
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| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639268089 | Keith Alan Davis | Ophthalmology | 1011 Sylvan Ave Ste C, Modesto, CA 95350-1693 | 2006-10-12 |
| 1275504524 | Brian Alexander Lenser | Ophthalmology | 3109 Coffee Rd, Ste C, Modesto, CA 95355-1766 | 2006-01-26 |
| 1194714642 | Rangram Chandran | Ophthalmology | 304 Banner Ct, Suite 1, Modesto, CA 95356-9194 | 2005-10-18 |
| 1346239803 | Anthony James Guida | Ophthalmology | 1011 Sylvan Ave, Modesto, CA 95350-1692 | 2005-10-18 |
| 1477548667 | Shi-hwa William Chang | Ophthalmology | 200 East Granger Ave, Ste 130, Modesto, CA 95350-4303 | 2005-09-14 |
| 1730591041 | Rangram Chandran Md Inc | Ophthalmology | 304 Banner Ct, Suite 1, Modesto, CA 95356-9194 | 2014-05-21 |
| 1194084517 | On-tat Lee | Ophthalmology | 1011 Sylvan Ave, Modesto, CA 95350 | 2012-05-04 |
| 1891954772 | Brent Leong Lum | Ophthalmology | 4601 Dale Rd, Modesto, CA 95356-9718 | 2008-06-05 |
| 1487839379 | Sylvan Eye Associates | Ophthalmology | 1011 Sylvan Ave, Modesto, CA 95350-1692 | 2008-01-09 |
| 1497878953 | Julius Mueller | Ophthalmology | 830 Scenic Dr, Modesto, CA 95350-6131 | 2007-04-09 |
| 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.