Doctors Medical Center Foundation

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

DOCTORS MEDICAL CENTER FOUNDATION

Doing business as

Miller's Place ADHC

Practice address

730 McHenry Ave
Modesto, CA 95350-5413

Phone

(209) 521-0507

Fax

(209) 521-0694

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Carolyn L. Crown

Title

Executive Director

Phone

(209) 527-3412

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miller's Place ADHC Doing business as

Tax ID family

Doctors Medical Center Foundation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Doctors Medical Center Foundation

  • Non-emergency Medical Transport (VAN)
  • Modesto, CA
  • NPI 1972864247
  NPD tax ID

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144435330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 MCHENRY AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505413",
            "telephone_number": "209-527-3412",
            "fax_number": "209-527-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MCHENRY AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505413",
            "telephone_number": "209-521-0507",
            "fax_number": "209-521-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS MEDICAL CENTER FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROWN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-527-3412",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70165F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller's Place ADHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Dockter-Reynolds, BCBA
• Doctor James E Barnett MD Inc
• Doctors Medical Center
• Doctors Medical Center
• Doctors Medical Center
• 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.

• Adult Day Care Clinic/Center in Modesto, CA
• Providers in Modesto, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.