Individual provider Active NPI

Neal Allan Dunitz, M.D.

  • Internal Medicine Physician
  • Modesto, CA
National Provider Identifier
1245215870
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G49187 Issued in CA
Practice address
2401 E Orangeburg Ave
Modesto, CA 95355-3351
Phone
(209) 724-6000
Fax
(209) 724-6034
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD19131 OR
Internal Medicine Physician 207R00000X G49187 CA Primary

Addresses

Primary practice location

2401 E Orangeburg Ave
Modesto, CA 95355-3351

Mailing address

2401 E Orangeburg Ave Ste 330
Modesto, CA 95355-3396
Phone (209) 724-6000

Other practice location 1

11011 SW Southridge Dr
Portland, OR 97219-7880
Phone (503) 890-6377

Other identifiers 3

IdentifierTypeStateIssuer
068564MedicaidOR
288287OtherOROMAP BILLING NUMBER
8212961OtherWAWASHINGTON MAP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190410001795 CA Practitioner - Internal Medicine 4789575838 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G49187CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Centers CurrentSince Jul 9, 2023 Accepting new patients
Neal Allan Dunitz, MD Internal Medicine CurrentSince Dec 15, 1999 Accepting new patients
Robert Marriott Medical Corp Past Accepting new patients
West Hills Village Limited Partnership Past Accepting new patients

Locations

2401 E Orangeburg Ave
Ste 330
Modesto, CA 95355
Phone (209) 383-5871

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8442/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1245215870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E ORANGEBURG AVE STE 330",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553396",
            "telephone_number": "209-724-6000",
            "fax_number": "209-724-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E ORANGEBURG AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553351",
            "telephone_number": "209-724-6000",
            "fax_number": "209-724-6034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11011 SW Southridge Dr",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972197880",
            "country_code": "US",
            "telephone_number": "503-890-6377",
            "fax_number": "503-303-7966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNITZ",
        "first_name": "NEAL",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD19131",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G49187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068564",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP BILLING NUMBER",
            "identifier": "288287",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON MAP NUMBER",
            "identifier": "8212961",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.