Active NPI
Neal Allan Dunitz, M.D.
- Internal Medicine Physician
- Modesto, CA
National Provider Identifier
1245215870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G49187
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068564 | Medicaid | OR | |
| 288287 | Other | OR | OMAP BILLING NUMBER |
| 8212961 | Other | WA | WASHINGTON 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G49187 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Health Centers | Current | Accepting new patients | |
| Neal Allan Dunitz, MD | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Portland, OR
- NPI 1881722593
-
- Specialist
- San Diego, CA
- NPI 1710336094
-
- PACE Provider Organization
- Modesto, CA
- NPI 1598302655
-
- Surgery Physician
- El Segundo, CA
- NPI 1083883938
-
- Assisted Living Facility
- Portland, OR
- NPI 1396786281
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.