NPIMap

Organization Active NPI

Madhuri Kamatham

  • General Acute Care Hospital
  • Modesto, CA
National Provider Identifier
1033326681
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
A97936 Issued in CA
Legal business name
MADHURI KAMATHAM
Practice address
1441 Florida Ave
Modesto, CA 95350-4405
Phone
(209) 576-3525
Fax
(209) 576-3544
NPI assigned
May 16, 2007
Last updated
Jul 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Miss Lucy Pires
Title
Administrative Asst
Phone
(209) 576-3525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X A97936 CA Primary

Addresses

Primary practice location

1441 Florida Ave
Modesto, CA 95350-4405

Mailing address

1441 Florida Ave
Modesto, CA 95350-4405
Phone (209) 576-3525

Other identifiers 1

IdentifierTypeStateIssuer
A97936OtherCAMEDICAL LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Hospitalists of Modesto2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1033326681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 FLORIDA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504405",
            "telephone_number": "209-576-3525",
            "fax_number": "209-576-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 FLORIDA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504405",
            "telephone_number": "209-576-3525",
            "fax_number": "209-576-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADHURI KAMATHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "PIRES",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASST",
        "authorized_official_telephone_number": "209-576-3525",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A97936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A97936",
            "state": "CA"
        }
    ],
    "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 Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.