| Modesto Physical Medicine | |
|
1933 Coffee Rd Modesto CA 95355-2704 | |
| (209) 838-3434 | |
| (209) 838-7753 |
| Full Name | Modesto Physical Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1933 Coffee Rd, Modesto, California |
| Authorized Official Name and Position | John Bystrom (OWNER) |
| Authorized Official Contact | 2098383434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modesto Physical Medicine 1933 Coffee Rd Modesto CA 95355-2704 Ph: (209) 838-3434 | Modesto Physical Medicine 1933 Coffee Rd Modesto CA 95355-2704 Ph: (209) 838-3434 |
| NPI Number | 1821417866 |
|---|---|
| Provider Enumeration Date | 04/07/2014 |
| Last Update Date | 01/11/2023 |
| Medicare PECOS PAC ID | 4880918192 |
|---|---|
| Medicare Enrollment ID | O20150115000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821417866 | NPI | - | NPPES |
| Provider Name | John M Bystrom |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891850525 PECOS PAC ID: 2466546858 Enrollment ID: I20070915000306 |
| Provider Name | Michael S Clark |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710059035 PECOS PAC ID: 8224068127 Enrollment ID: I20150708002996 |
| Provider Name | Olga Bealessio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053788323 PECOS PAC ID: 8426365792 Enrollment ID: I20150918000950 |
| Provider Name | Jose L Bazan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437784469 PECOS PAC ID: 4880018373 Enrollment ID: I20200716002029 |
| Provider Name | Michael W Ratliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457008211 PECOS PAC ID: 1355718230 Enrollment ID: I20221207002725 |
| Provider Name | Jeannette Sandoval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376182402 PECOS PAC ID: 5890131288 Enrollment ID: I20240307002245 |
Tushar R. Modi, M.d. Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 413 E Orangeburg Ave Ste A, Modesto, CA 95350 Phone: 209-529-9600 Fax: 209-544-2620 | |
Golden Valley Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1510 Florida Ave, Suite B, Modesto, CA 95350 Phone: 209-549-7090 Fax: 209-549-7099 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1114 6th St, Modesto, CA 95354 Phone: 209-576-2845 Fax: 209-384-3966 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Hammond St, Modesto, CA 95351 Phone: 209-576-4437 Fax: 209-384-3966 | |
Greater Modesto Medical Surgical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3125 Conant Ave, Modesto, CA 95350 Phone: 209-214-7053 Fax: 209-523-0764 | |
Gettysburg Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Coffee Rd, Building 10, Modesto, CA 95355 Phone: 209-725-2060 Fax: 209-725-2072 | |
Keith Leibowitz M.d. A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 Park Ave, Modesto, CA 95354 Phone: 757-645-7079 |