Organization Active NPI

Frank Fine, MD

  • Specialist
  • Modesto, CA
National Provider Identifier
1033661681
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A66472 Issued in CA
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Frank Fine, M.D.NPI 1700981016
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0896337MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.