Valley Nephrology Associates

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

VALLEY NEPHROLOGY ASSOCIATES

Practice address

608 E Orangeburg Ave
Modesto, CA 95350-5513

Phone

(209) 529-2645

Fax

(209) 529-3024

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Jose M.R. Santos, MDNPI 1073577573

Title

President

Phone

(209) 529-2645

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Satellite Dialysis-Central Modesto LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Modesto, CA
  • NPI 1609847581

  Member Of

  NPD member
• Wellbound of Modesto LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Modesto, CA
  • NPI 1932171972

  Member Of

  NPD member

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/73255

Practitioners 5

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

• Jose M. R. Santos, M.D.

  • Nephrology Physician
  • Modesto, CA
  • NPI 1073577573
  Medicare reassignment Care Compare group NPD Authorized official
• Swarna Byri, M.D

  • Nephrology Physician
  • Manteca, CA
  • NPI 1871731414
  Medicare reassignment Care Compare group NPD
• Ravikiran Vegasana, M.D.

  • Nephrology Physician
  • Modesto, CA
  • NPI 1770738825
  Medicare reassignment Care Compare group NPD
• Josephine R Baisac, M.D.

  • Nephrology Physician
  • Modesto, CA
  • NPI 1548223480
  Medicare reassignment NPD
• Mohsen M El Ramah, M.D.

  • Nephrology Physician
  • El Centro, CA
  • NPI 1346427861
  Medicare reassignment NPD

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1003948340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 E ORANGEBURG AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505513",
            "telephone_number": "209-529-2645",
            "fax_number": "209-529-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E ORANGEBURG AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505513",
            "telephone_number": "209-529-2645",
            "fax_number": "209-529-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY NEPHROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M.R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-529-2645",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0099870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valley Heart Associates Medical Group Inc
• Valley Hope Community Partnership
• Valley Internist Physicians Medical Group, Inc.
• Valley Interventional Pain Medical GRP
• Valley Medical Systems, Inc.
• Valley Oak Pediatric Associates
• Valley Orthopaedic Bone and Joint
• Valley Physical Therapy Solutions, Inc.
• Valley Psychiatric Professional Corporation
• Valley Recovery Resources

• Specialist in Modesto, CA
• Providers in Modesto, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.