| Hospitalists Of Modesto Medical Group Inc | |
|
1441 Florida Ave Modesto CA 95350-4405 | |
| (209) 576-3525 | |
| (209) 576-3544 |
| Full Name | Hospitalists Of Modesto Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1441 Florida Ave, Modesto, California |
| Authorized Official Name and Position | Thomas M Wallace (CEO) |
| Authorized Official Contact | 2095763525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalists Of Modesto Medical Group Inc 1700 Mchenry Ave Ste 65b Modesto CA 95350-4333 Ph: (209) 576-3525 | Hospitalists Of Modesto Medical Group Inc 1441 Florida Ave Modesto CA 95350-4405 Ph: (209) 576-3525 |
| NPI Number | 1821190711 |
|---|---|
| Provider Enumeration Date | 09/02/2006 |
| Last Update Date | 10/01/2020 |
| Medicare PECOS PAC ID | 2567360027 |
|---|---|
| Medicare Enrollment ID | O20031222000781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821190711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G42269 (California) | Primary |
| Provider Name | Arun K Vasudeva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629019039 PECOS PAC ID: 8729990346 Enrollment ID: I20031103000399 |
| Provider Name | Edward W Verde |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114949922 PECOS PAC ID: 0042110033 Enrollment ID: I20040113000756 |
| Provider Name | Trong Q Trinh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295718054 PECOS PAC ID: 9234023938 Enrollment ID: I20040212000464 |
| Provider Name | Andrew L Deen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225073000 PECOS PAC ID: 1759276025 Enrollment ID: I20040216001263 |
| Provider Name | Paula S Tremayne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740368554 PECOS PAC ID: 5193781292 Enrollment ID: I20041209000339 |
| Provider Name | Thong Q Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912965096 PECOS PAC ID: 6204887870 Enrollment ID: I20050201000955 |
| Provider Name | Anitha D Channabasavaiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326156431 PECOS PAC ID: 9032145719 Enrollment ID: I20050713001129 |
| Provider Name | Michael J Iocca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629133079 PECOS PAC ID: 7517993017 Enrollment ID: I20050715000725 |
| Provider Name | Kit Duong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114984051 PECOS PAC ID: 4082676564 Enrollment ID: I20051006000360 |
| Provider Name | Bao Quy Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821032475 PECOS PAC ID: 6800802646 Enrollment ID: I20060302000389 |
| Provider Name | Qazi Muhammad Muzaffar Mohsin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467487280 PECOS PAC ID: 5698784122 Enrollment ID: I20060411000840 |
| Provider Name | Otashe Golden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508891797 PECOS PAC ID: 9436152774 Enrollment ID: I20060807000240 |
| Provider Name | Manjula K Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750306189 PECOS PAC ID: 5193729937 Enrollment ID: I20060908000280 |
| Provider Name | Kamal Yusufzie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497710594 PECOS PAC ID: 5698711968 Enrollment ID: I20070122000195 |
| Provider Name | Laura Calderon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568536159 PECOS PAC ID: 2769484724 Enrollment ID: I20070205000646 |
| Provider Name | Adil A Abbasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548261316 PECOS PAC ID: 0749383214 Enrollment ID: I20070321000607 |
| Provider Name | Daniel C Meador |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619925989 PECOS PAC ID: 0648374850 Enrollment ID: I20070328000282 |
| Provider Name | Richard O Camacho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649253881 PECOS PAC ID: 0648242479 Enrollment ID: I20070406000265 |
| Provider Name | Daniel E Wenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376585893 PECOS PAC ID: 3375643075 Enrollment ID: I20070710001000 |
| Provider Name | Ivan D Hamilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669421202 PECOS PAC ID: 1052344934 Enrollment ID: I20081119000205 |
| Provider Name | Upinder Rohewal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407051675 PECOS PAC ID: 1456414051 Enrollment ID: I20090108000060 |
| Provider Name | Thomas M Wallace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679641666 PECOS PAC ID: 9638077191 Enrollment ID: I20090911000381 |
| Provider Name | Jin Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669797882 PECOS PAC ID: 9830214428 Enrollment ID: I20100920000930 |
| Provider Name | David Montenegro Sapien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922234889 PECOS PAC ID: 4082801055 Enrollment ID: I20101203000598 |
| Provider Name | Darius Emerson Naraghi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629180872 PECOS PAC ID: 0547440620 Enrollment ID: I20110207000429 |
| Provider Name | Hui Miao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881837524 PECOS PAC ID: 1759565021 Enrollment ID: I20110411000689 |
| Provider Name | Julianna M Bojta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841378908 PECOS PAC ID: 8921284167 Enrollment ID: I20110523000840 |
| Provider Name | Charanbir Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598921355 PECOS PAC ID: 5395923148 Enrollment ID: I20110624000496 |
| Provider Name | Hasib Danai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396058418 PECOS PAC ID: 8527237403 Enrollment ID: I20110810000309 |
| Provider Name | Thanh H Huynh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962463026 PECOS PAC ID: 0244229276 Enrollment ID: I20111003000548 |
| Provider Name | Sri Vardhan V Kooturu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760633457 PECOS PAC ID: 6608929948 Enrollment ID: I20111010000290 |
| Provider Name | Brett C Farley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790896009 PECOS PAC ID: 4880869932 Enrollment ID: I20111219000710 |
| Provider Name | Pietro G Pecci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366510356 PECOS PAC ID: 7719152800 Enrollment ID: I20111220000157 |
| Provider Name | Natalie J Slowik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659667715 PECOS PAC ID: 8729254313 Enrollment ID: I20120103000535 |
| Provider Name | Pankaj Malhotra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851561203 PECOS PAC ID: 5395812903 Enrollment ID: I20120109000291 |
| Provider Name | Shagun Bagga-malhotra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063677508 PECOS PAC ID: 3577603109 Enrollment ID: I20120419000449 |
| Provider Name | Satya S Toram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225175029 PECOS PAC ID: 8224194857 Enrollment ID: I20121012000745 |
| Provider Name | Arun Manoharan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730393836 PECOS PAC ID: 0941340640 Enrollment ID: I20121231000147 |
| Provider Name | Ramanjeet Singh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922196328 PECOS PAC ID: 2668559378 Enrollment ID: I20130716000268 |
| Provider Name | Mickey Bhupander Sachdeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841503778 PECOS PAC ID: 6507007754 Enrollment ID: I20130730000904 |
| Provider Name | Reza Bashtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285868729 PECOS PAC ID: 8325289366 Enrollment ID: I20130802000332 |
| Provider Name | Veronica Nicole Ortiz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851592844 PECOS PAC ID: 4789735234 Enrollment ID: I20130807000168 |
| Provider Name | Baljit S Sivia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518288398 PECOS PAC ID: 2466694989 Enrollment ID: I20130813000835 |
| Provider Name | Suhail Rahhal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326044876 PECOS PAC ID: 6103841796 Enrollment ID: I20130829000902 |
| Provider Name | Champak Venkitachalam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649589052 PECOS PAC ID: 3971747171 Enrollment ID: I20130909000703 |
| Provider Name | Swapna Kamireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710119003 PECOS PAC ID: 7315117702 Enrollment ID: I20130911000632 |
| Provider Name | Aram V Davtyan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578616553 PECOS PAC ID: 3779752423 Enrollment ID: I20131028000858 |
| Provider Name | Ehsan Hazrati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578881736 PECOS PAC ID: 5092956870 Enrollment ID: I20131118001236 |
| Provider Name | Ramella E Barjesteh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306116298 PECOS PAC ID: 2163654500 Enrollment ID: I20140416002506 |
| Provider Name | Adriana J Avila Acosta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760778898 PECOS PAC ID: 0244461200 Enrollment ID: I20140422001094 |
| Provider Name | Nahla Makhoul |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073561585 PECOS PAC ID: 8729098538 Enrollment ID: I20140603001735 |
| Provider Name | Kristofer Richter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336438852 PECOS PAC ID: 6103040100 Enrollment ID: I20140613000439 |
| Provider Name | Quynh Q Dang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487949343 PECOS PAC ID: 0446479752 Enrollment ID: I20140919000004 |
| Provider Name | Atul K Munjal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023240579 PECOS PAC ID: 1052435468 Enrollment ID: I20140929002078 |
| Provider Name | Kevin Sterling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881757409 PECOS PAC ID: 7618040726 Enrollment ID: I20150108002211 |
| Provider Name | Christina A Lang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891009601 PECOS PAC ID: 7517100670 Enrollment ID: I20150129002601 |
| Provider Name | Tabish Jalal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275844375 PECOS PAC ID: 6305098864 Enrollment ID: I20150307000011 |
| Provider Name | Mariko Ishiyama |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952662991 PECOS PAC ID: 4486872835 Enrollment ID: I20150928000736 |
| Provider Name | Laura E Kinkade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033586896 PECOS PAC ID: 4688975501 Enrollment ID: I20151218001438 |
| Provider Name | Naile Barzaga Hazrati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245429968 PECOS PAC ID: 1951491075 Enrollment ID: I20160125002355 |
| Provider Name | Srinivasa K Srinidhi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376800730 PECOS PAC ID: 5991097685 Enrollment ID: I20160718001415 |
| Provider Name | Gurjit Singh Sivia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225474836 PECOS PAC ID: 2365720133 Enrollment ID: I20161028001581 |
| Provider Name | Kerri R Cavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417405267 PECOS PAC ID: 8820376320 Enrollment ID: I20161104000464 |
| Provider Name | Preetinder Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083035943 PECOS PAC ID: 9537448378 Enrollment ID: I20161117002003 |
| Provider Name | Mitesh G Lal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619311222 PECOS PAC ID: 0345520896 Enrollment ID: I20161129002595 |
| Provider Name | Ishtleen K Bhatia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851649396 PECOS PAC ID: 2264746627 Enrollment ID: I20170113002276 |
| Provider Name | Sharanjit Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124418488 PECOS PAC ID: 7113294125 Enrollment ID: I20170523001460 |
| Provider Name | Manjit S Dhillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487602819 PECOS PAC ID: 9638188964 Enrollment ID: I20170623002081 |
| Provider Name | Surinder Singh Bahia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467716530 PECOS PAC ID: 8426286808 Enrollment ID: I20170823001269 |
| Provider Name | Nahera F Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972913788 PECOS PAC ID: 7315211240 Enrollment ID: I20170915002612 |
| Provider Name | Patrick Wong |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740445279 PECOS PAC ID: 8022248632 Enrollment ID: I20171102000740 |
| Provider Name | Carleo Rodriguez Capili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235558198 PECOS PAC ID: 3476770090 Enrollment ID: I20171102003027 |
| Provider Name | Victoria Yeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821418245 PECOS PAC ID: 2264798495 Enrollment ID: I20171103002306 |
| Provider Name | Behnam Seyed Jazayeri-moghadass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942551049 PECOS PAC ID: 4486910577 Enrollment ID: I20171106001827 |
| Provider Name | Meredith E Haskins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881011740 PECOS PAC ID: 8820395205 Enrollment ID: I20171108000405 |
| Provider Name | Hung Q Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740379312 PECOS PAC ID: 5698732634 Enrollment ID: I20171117002233 |
| Provider Name | Claire Helbig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467667147 PECOS PAC ID: 1759482896 Enrollment ID: I20171222000720 |
| Provider Name | Yan Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346640604 PECOS PAC ID: 7517225485 Enrollment ID: I20171222001221 |
| Provider Name | Li Tao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063832483 PECOS PAC ID: 8527326446 Enrollment ID: I20171226001974 |
| Provider Name | Maria Lyzandra Fernan Capili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053730911 PECOS PAC ID: 9537386156 Enrollment ID: I20180629001290 |
| Provider Name | Hiep P Bui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124511464 PECOS PAC ID: 2668729252 Enrollment ID: I20180730000241 |
| Provider Name | Li Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912390444 PECOS PAC ID: 2668721739 Enrollment ID: I20180822002622 |
| Provider Name | Sarah A Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215465877 PECOS PAC ID: 2769736511 Enrollment ID: I20181113003079 |
| Provider Name | Hardik Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699162735 PECOS PAC ID: 3678814332 Enrollment ID: I20190405000439 |
| Provider Name | Abdollah Yousefzadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144617481 PECOS PAC ID: 2365783776 Enrollment ID: I20190412000978 |
| Provider Name | Tayzar L Htun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629459250 PECOS PAC ID: 0143562934 Enrollment ID: I20190426000773 |
| Provider Name | Mohammed Abo Khamis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508098419 PECOS PAC ID: 5496994121 Enrollment ID: I20190913002432 |
| Provider Name | Mohammad Abdelaziz Mahmoud |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548612542 PECOS PAC ID: 7517297203 Enrollment ID: I20190923002810 |
| Provider Name | Wenbai Zhou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841644143 PECOS PAC ID: 9638409196 Enrollment ID: I20190925002922 |
| Provider Name | Yuri Ito |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023463601 PECOS PAC ID: 3274964317 Enrollment ID: I20200505003272 |
| Provider Name | Jose L Bazan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437784469 PECOS PAC ID: 4880018373 Enrollment ID: I20200716002029 |
| Provider Name | Tana Seneewong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447786587 PECOS PAC ID: 1254755713 Enrollment ID: I20200717000244 |
| Provider Name | Cyrus Lee Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609350396 PECOS PAC ID: 3274946025 Enrollment ID: I20210115001051 |
| Provider Name | Luzcel Tuazon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306990817 PECOS PAC ID: 2769474261 Enrollment ID: I20210316001016 |
| Provider Name | Zhe Tan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528556180 PECOS PAC ID: 9931502739 Enrollment ID: I20210729004005 |
| Provider Name | Kimberley Stephania Yescas Garibay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255824884 PECOS PAC ID: 0143625384 Enrollment ID: I20210825003448 |
| Provider Name | Amandeep Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962999649 PECOS PAC ID: 6204185143 Enrollment ID: I20210826003522 |
| Provider Name | Harsimran Kaur Bhinder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942707989 PECOS PAC ID: 4385992452 Enrollment ID: I20211013003792 |
| Provider Name | Raymon Birring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447814116 PECOS PAC ID: 5890173108 Enrollment ID: I20220527000386 |
| Provider Name | Muhammad Saeed Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154973584 PECOS PAC ID: 1456739788 Enrollment ID: I20220527001143 |
| Provider Name | Shangida Ahsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639638463 PECOS PAC ID: 8628458973 Enrollment ID: I20220705002839 |
| Provider Name | Anthony Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780093658 PECOS PAC ID: 7214319938 Enrollment ID: I20220727003903 |
| Provider Name | Divesh Goel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578026050 PECOS PAC ID: 8022490135 Enrollment ID: I20220806000113 |
| Provider Name | Carolyn Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225693344 PECOS PAC ID: 0749699189 Enrollment ID: I20220809002005 |
| Provider Name | Harsimran Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578028858 PECOS PAC ID: 1658749478 Enrollment ID: I20230802003792 |
| Provider Name | Duncan James Jacobson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457989345 PECOS PAC ID: 7911369467 Enrollment ID: I20230815002526 |
| Provider Name | Aidan Xuong Vuong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356979355 PECOS PAC ID: 0446613533 Enrollment ID: I20230822002512 |
| Provider Name | Yuxiang Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972131480 PECOS PAC ID: 6709249915 Enrollment ID: I20230905002873 |
| Provider Name | Bronte Sophy Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285261248 PECOS PAC ID: 9133583891 Enrollment ID: I20230913002709 |
| Provider Name | Onkar Mudhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780213579 PECOS PAC ID: 5799130951 Enrollment ID: I20231009002759 |
| Provider Name | Margarita Vinogradova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295362259 PECOS PAC ID: 6204281397 Enrollment ID: I20231010001344 |
| Provider Name | Quynh-lan Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184064149 PECOS PAC ID: 1951697895 Enrollment ID: I20231101002950 |
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 |