NPIMap

Organization Active NPI

Doctors Medical Center of Modesto

Doing business as Emanuel Family Practice

  • Family Medicine Physician
  • Patterson, CA
National Provider Identifier
1073944393
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DOCTORS MEDICAL CENTER OF MODESTO
Doing business as
Emanuel Family Practice
Practice address
1010 W Las Palmas Ave
Ste E
Patterson, CA 95363-8873
Phone
(209) 895-7100
NPI assigned
Dec 12, 2013
Last updated
Jun 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Dr. Ronald KaufmanNPI 1053302000
Title
Regional Cmo; Tenet
Phone
(714) 428-6812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1010 W Las Palmas Ave
Ste E
Patterson, CA 95363-8873

Mailing address

PO Box 743399
Los Angeles, CA 90074-3399
Phone (209) 573-6102

Other names 1

  • Emanuel Family Practice Doing business as

National Provider Directory

National Provider Directory

Locations

1540 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 577-5557

4016 Dale Rd
#M
Modesto, CA 95356
Phone (209) 222-5306

1010 W Las Palmas Ave
Patterson, CA 95363
Phone (209) 895-7100

2240 W Monte Vista Ave
Turlock, CA 95382
Phone (209) 664-5150

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1073944393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743399",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900743399",
            "telephone_number": "209-573-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W LAS PALMAS AVE",
            "address_2": "STE E",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953638873",
            "telephone_number": "209-895-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS MEDICAL CENTER OF MODESTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "REGIONAL CMO; TENET",
        "authorized_official_telephone_number": "714-428-6812",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emanuel Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Patterson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.