NPIMap

Organization Active NPI

First Choice Physician Partners

Doing business as Greater Modesto Medical Surgical Associates

  • Urology Physician
  • Modesto, CA
National Provider Identifier
1215294160
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
FIRST CHOICE PHYSICIAN PARTNERS
Doing business as
Greater Modesto Medical Surgical Associates
Practice address
1541 Florida Ave
Ste 100
Modesto, CA 95350-4429
Phone
(209) 575-5833
Fax
(209) 575-5836
NPI assigned
Apr 17, 2012
Last updated
Jun 6, 2016By the provider in NPPES
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 Koury
Title
Ceo
Phone
(714) 428-6482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

1541 Florida Ave
Ste 100
Modesto, CA 95350-4429

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 Physician Part17 organizations share this tax ID, including this one
Part of
First Choice Physician Part

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": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1215294160",
    "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",
            "fax_number": "714-428-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 FLORIDA AVE",
            "address_2": "STE 100",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504429",
            "telephone_number": "209-575-5833",
            "fax_number": "209-575-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE PHYSICIAN PARTNERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST CHOICE PHYSICIAN PARTNERS",
        "enumeration_date": "2012-04-17",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "KOURY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-428-6482",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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.