NPIMap

Organization Active NPI

First Choice Physician Partners

  • Internal Medicine Physician
  • Modesto, CA
National Provider Identifier
1114285665
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FIRST CHOICE PHYSICIAN PARTNERS
Practice address
1441 Florida Ave
Modesto, CA 95350-4404
Phone
(209) 577-3388
Fax
(209) 338-0746
NPI assigned
May 2, 2012
Organization subpart
Yes
Parent organization
FIRST CHOICE PHYSICIAN PARTNERSAs reported in NPPES

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
Mr. Jeff Kourey
Title
Ceo
Phone
(714) 428-6842

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

1441 Florida Ave
Modesto, CA 95350-4404

Mailing address

1541 Florida Ave
Ste. 200
Modesto, CA 95350-4429
Phone (209) 214-7053

Other names 1

  • Greater Modesto Medical Surgical Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
First Choice Phys Partners17 organizations share this tax ID, including this one
Part of
First Choice Phys Partners

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1114285665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 FLORIDA AVE",
            "address_2": "STE. 200",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504429",
            "telephone_number": "209-214-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 FLORIDA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504404",
            "telephone_number": "209-577-3388",
            "fax_number": "209-338-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE PHYSICIAN PARTNERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST CHOICE PHYSICIAN PARTNERS",
        "enumeration_date": "2012-05-02",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "KOUREY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-428-6842",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Modesto Medical Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.