Active NPI
Frank Fine, MD
- Specialist
- Modesto, CA
National Provider Identifier
1033661681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A66472
- Legal business name
- FRANK FINE, MD
- Practice address
- 803 Coffee Rd
4
Modesto, CA 95355-4227 - Phone
- (209) 569-0776
- NPI assigned
- Oct 31, 2016
- Last updated
- Oct 31, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frank Fine, M.D.
- Title
- M.D.
- Phone
- (623) 748-0080
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A66472 | CA | Primary |
Addresses
Primary practice location
803 Coffee Rd
4
Modesto, CA 95355-4227
Mailing address
803 Coffee Rd
Suite 4
Modesto, CA 95355-4227
Phone (209) 569-0776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0896337 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
803 Coffee Rd
Ste 4
Modesto, CA 95355
Phone (209) 569-0776
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- Modesto, CA
- NPI 1700981016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477872000000",
"number": "1033661681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 COFFEE RD",
"address_2": "SUITE 4",
"city": "MODESTO",
"state": "CA",
"postal_code": "953554227",
"telephone_number": "209-569-0776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 COFFEE RD",
"address_2": "4",
"city": "MODESTO",
"state": "CA",
"postal_code": "953554227",
"telephone_number": "209-569-0776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANK FINE, MD",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-31",
"last_updated": "2016-10-31",
"status": "A",
"authorized_official_last_name": "FINE",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "623-748-0080",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A66472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0896337",
"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 Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.