Organization Active NPI

O & D Surgical and Medical Solutions Inc.

  • General Acute Care Hospital
  • Modesto, CA
National Provider Identifier
1164768982
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
A81970 Issued in CA
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

Updated by the provider on Dec 26, 2012

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.NPI 1740262229
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20121227000329 CA Part B Supplier - Clinic/Group Practice 3476706441 Receives reassigned benefits from 2 practitioners
Practice locations: Modesto, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.