Individual provider Active NPI

Patrick Gainey, M.D.

  • Neurology Physician
  • Modesto, CA
National Provider Identifier
1306880240
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G141832 Issued in CA
Practice address
1541 Florida Ave Ste 301
Modesto, CA 95350
Phone
(209) 577-3388
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MA53495 NJ
Neurology Physician 2084N0400X G141832 CA Primary

Addresses

Primary practice location

1541 Florida Ave Ste 301
Modesto, CA 95350

Mailing address

1541 Florida Ave Ste 103
Modesto, CA 95350-4438
Phone (209) 577-3388

Other practice location 1

600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 521-6097 ext. 5289

Other practice location 2

1541 Florida Ave Ste 103
Modesto, CA 95350
Phone (209) 577-3388

Other identifiers 2

IdentifierTypeStateIssuer
455870OtherNJAETNA PROVIDER #
LS201OtherNJOXFORD PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G141832CAMDNeurology Physician
MA53495NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Neurology CurrentSince Jan 19, 2019 Accepting new patients
First Choice Physician Partners CurrentSince Jan 19, 2019 Accepting new patients
First Choice Physician Partners Current Accepting new patients
First Choice Physician Partners Past Accepting new patients
Princeton and Rutger Neurology, P.a. Neurology Past Accepting new patients

Locations

1541 Florida Ave
Ste 103
Modesto, CA 95350
Phone (209) 572-1200

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1541 Florida Ave
Modesto, CA 95350
Phone (209) 214-7049

1541 Florida Ave
Ste 301
Modesto, CA 95350

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1306880240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 FLORIDA AVE STE 103",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504438",
            "telephone_number": "209-577-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 FLORIDA AVE STE 301",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95350",
            "telephone_number": "209-577-3388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Coffee Rd",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953554201",
            "country_code": "US",
            "telephone_number": "209-521-6097 x5289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1541 Florida Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "95350",
            "country_code": "US",
            "telephone_number": "209-577-3388",
            "fax_number": "209-575-5836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAINEY",
        "first_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "MA53495",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G141832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "455870",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER #",
            "identifier": "LS201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.