Active NPI
O & D Surgical and Medical Solutions Inc.
- General Acute Care Hospital
- Modesto, CA
National Provider Identifier
1164768982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- A81970
- Legal business name
- O & D SURGICAL AND MEDICAL SOLUTIONS INC.
- Practice address
- 140 East Grager Avenue
Suite B
Modesto, CA 95350-4347 - Phone
- (209) 589-1500
- Fax
- (209) 521-0813
- NPI assigned
- Dec 26, 2012
- 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
- Juan Jorge Del Valle, M.D.
- Title
- C.E.O.
- Phone
- (209) 614-1445
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | A81970 | CA | Primary |
Addresses
Primary practice location
140 East Grager Avenue
Suite B
Modesto, CA 95350-4347
Mailing address
140 East Grager Avenue
Suite B
Modesto, CA 95350-4347
Phone (209) 589-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
140 E Granger Ave
Ste B
Modesto, CA 95350
Phone (209) 589-1500
2116 E Orangeburg Ave
Ste C
Modesto, CA 95355
Phone (209) 589-1500
Practitioners & affiliated clinicians
Practitioners 2
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 1740262229
-
- Women's Health Nurse Practitioner
- Modesto, CA
- NPI 1679647234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356480000000",
"number": "1164768982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 EAST GRAGER AVENUE",
"address_2": "SUITE B",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504347",
"telephone_number": "209-589-1500",
"fax_number": "209-521-0813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 EAST GRAGER AVENUE",
"address_2": "SUITE B",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504347",
"telephone_number": "209-589-1500",
"fax_number": "209-521-0813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "O & D SURGICAL AND MEDICAL SOLUTIONS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-26",
"last_updated": "2012-12-26",
"status": "A",
"authorized_official_last_name": "DEL VALLE",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "JORGE",
"authorized_official_title_or_position": "C.E.O.",
"authorized_official_telephone_number": "209-614-1445",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "A81970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.