Active NPI
Doctors Primary Care of Modesto, Inc.
- Family Medicine Physician
- Modesto, CA
National Provider Identifier
1104065788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DOCTORS PRIMARY CARE OF MODESTO, INC.
- Practice address
- 3125 Conant Ave
Modesto, CA 95350-6527 - Phone
- (209) 524-1668
- Fax
- (209) 524-0014
- NPI assigned
- Feb 5, 2009
- 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
- Dr. Ronald Kaufman
- Title
- Regional Cmo; Tenet
- Phone
- (714) 428-6812
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3125 Conant Ave
Modesto, CA 95350-6527
Mailing address
3125 Conant Ave
Modesto, CA 95350-6527
Phone (209) 524-1668
Other names 1
- Doctors Primary Care Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Modesto, CA
- NPI 1831116714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464220800000",
"number": "1104065788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 CONANT AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953506527",
"telephone_number": "209-524-1668",
"fax_number": "209-524-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 CONANT AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953506527",
"telephone_number": "209-524-1668",
"fax_number": "209-524-0014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCTORS PRIMARY CARE OF MODESTO, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-05",
"last_updated": "2016-05-26",
"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": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Doctors Primary Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Modesto, CA
- Doctors Medical Center Foundation
- Doctors Medical Center of Modesto, Inc
- Doctors Medical Center of Modesto, Inc.
- Doctors Medical Center of Modesto, Inc.
- Doctors Medical Center of Modesto, Inc.
- Chathuri Senanayake Dodam Mullage, MD
- Jeffrey Alan Doelling, MD
- Gerald Benjamin Doersam, MD
- Rupali Dogra
- Mariah Lynn Dolin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.