John Talieh Medical Corp

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

A73331 Issued in CA

Legal business name

JOHN TALIEH MEDICAL CORP

Practice address

1401 Spanos CT Ste 203
Modesto, CA 95355-2813

Phone

(209) 522-0600

Fax

(209) 491-0116

NPI assigned

Oct 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Yahya John Talieh, MDNPI 1780624619

Title

Surgeon

Phone

(209) 522-0600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

John Talieh Medical Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• John Talieh Medical Corporation

  • Specialist
  • Modesto, CA
  • NPI 1578594206
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yahya John Talieh, M.D.

  • Specialist
  • Modesto, CA
  • NPI 1780624619
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1356694020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577134",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953577134",
            "telephone_number": "209-522-0600",
            "fax_number": "209-491-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SPANOS CT STE 203",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552813",
            "telephone_number": "209-522-0600",
            "fax_number": "209-491-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN TALIEH MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "TALIEH",
        "authorized_official_first_name": "YAHYA",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "209-522-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A73331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel T. Yerby, M.D.
• Joel T. Yerby, M.D., Inc.
• Karenjit Johal, R.D.N.
• John F. Field, D.D.S., Inc.
• John M Quinones Ma LMFT
• John Talieh Medical Corporation
• Nova Maisha Johns
• Alexander L Johnson, MD
• Alina Johnson
• Alyssa Marie Johnson

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.