Individual provider Active NPI

Edward W Verde, M.D.

  • Anesthesiology Physician
  • Modesto, CA
National Provider Identifier
1114949922
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A68621 Issued in CA
Practice address
1441 Florida Avenue
Cardiovascular Anesthesiology
Modesto, CA 95352
Phone
(209) 578-1211
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A68621 CA Primary

Addresses

Primary practice location

1441 Florida Avenue
Cardiovascular Anesthesiology
Modesto, CA 95352

Mailing address

3055 Floyd Avenue, #353
Modesto, CA 95355
Phone (909) 522-4322

Other identifiers 1

IdentifierTypeStateIssuer
00A686210MedicaidCA

Other names 1

  • Dr. Edward Verde Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040113000756 CA Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 0042110033 Reassigns benefits to 6 organizations
I20240216003243 WA Practitioner - Anesthesiology 0042110033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Critical Care (Intensivists)
Education
Loma Linda University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Anesthesia Services of San Joaquin PCGroup PAC ID 4082754056, 75 clinicians
Valley Regional Anesthesia Associates IncGroup PAC ID 3870964323, 143 clinicians

Practice addresses (Care Compare)

1700 Coffee Rd
Modesto, CA 95355-2803
Phone (209) 526-4500

1800 N California St
Stockton, CA 95204-6019
Phone (209) 943-2000

525 W Acacia St
Stockton, CA 95203-2405
Phone (209) 461-7589

600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211

815 Court St
Jackson, CA 95642-2154

Hospital & facility affiliations

  • St Joseph'S Medical Center of Stockton Hospital, Stockton, CA, CCN 050084
  • Memorial Medical Center Hospital, Modesto, CA, CCN 050557
  • Dameron Hospital Hospital, Stockton, CA, CCN 050122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
68621CAMDPharmacist
A68621CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners CurrentSince Apr 1, 2020 Accepting new patients
Premier Anesthesia of California, PC Anesthesiology CurrentSince Jan 30, 2023 Accepting new patients
Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC Anesthesiology CurrentSince Jan 29, 2024 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Cep America - Intensivists PC CurrentSince Jul 1, 2017 Accepting new patients
Cep America - Intensivists PC Current Accepting new patients
Hospitalists of Modesto Medical Group Inc CurrentSince Sep 26, 2019 Accepting new patients
Valley Regional Anesthesia Associates Inc Anesthesiology CurrentSince Aug 16, 2025 Accepting new patients
Sutter Valley Medical Foundation Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Mar 1, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Apr 1, 2020 Accepting new patients
Anesthesia Services of San Joaquin, P.C. Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
General Anesthesia Specialists Partnership Medical Group Anesthesiology Past Accepting new patients
Loma Linda Univ Anesthesiology Medical Group Inc Anesthesiology Past Accepting new patients

Locations (25 of 26)

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1700 McHenry Ave
Ste 65B
Modesto, CA 95350
Phone (209) 581-7063

1541 Florida Ave
Modesto, CA 95350
Phone (209) 214-7049

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

1420 E Roseville Pkwy
Ste 100
Roseville, CA 95661
Phone (916) 677-2488

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

Interoperability endpoints

  • Direct secure messaging: everde560659@hisp.ehr.sutterhealth.org

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114949922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 FLOYD AVENUE, #353",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "909-522-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 FLORIDA AVENUE",
            "address_2": "CARDIOVASCULAR ANESTHESIOLOGY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95352",
            "telephone_number": "209-578-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDE",
        "first_name": "EDWARD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A68621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A686210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWARD",
            "last_name": "VERDE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.