Organization Active NPI

Nandeesh Veerappa MD Inc

  • Health Service Clinic/Center
  • Modesto, CA
National Provider Identifier
1003430778
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NANDEESH VEERAPPA MD INC
Practice address
1320 Celeste Dr
Modesto, CA 95355-2402
Phone
(209) 527-6900
Fax
(209) 543-6280
NPI assigned
May 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nandeesh Veerappa, MDNPI 1508834938
Title
President
Phone
(209) 688-1910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1320 Celeste Dr
Modesto, CA 95355-2402

Mailing address

1320 Celeste Dr
Modesto, CA 95355-2402
Phone (209) 527-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200619000716 CA Part B Supplier - Clinic/Group Practice 4486076437 Receives reassigned benefits from 1 practitioner
Practice locations: Gustine, CA

National Provider Directory

National Provider Directory

Locations

6937 Village Pkwy
Unit 2967
Dublin, CA 94568

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1003430778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 CELESTE DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552402",
            "telephone_number": "209-527-6900",
            "fax_number": "209-543-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CELESTE DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552402",
            "telephone_number": "209-527-6900",
            "fax_number": "209-543-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANDEESH VEERAPPA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "VEERAPPA",
        "authorized_official_first_name": "NANDEESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-688-1910",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.