Gifty Aidoo, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21215 Issued in CA

Practice address

2909 Coffee Rd Ste 12
Modesto, CA 95355-1751

Phone

(209) 484-0951

NPI assigned

Feb 28, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Gifty Otoo Professional name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Omega Health Clinics

  • Infusion Therapy Clinic/Center
  • Modesto, CA
  • NPI 1710648928
  Medicare reassignment NPD
• Elite First Health

  • Primary Care Clinic/Center
  • Modesto, CA
  • NPI 1710333976
  NPD (past) Authorized official

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1376883256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576810",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953576810",
            "telephone_number": "209-484-0951",
            "fax_number": "209-484-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 COFFEE RD STE 12",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551751",
            "telephone_number": "209-484-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIDOO",
        "first_name": "GIFTY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "21215",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIFTY",
            "last_name": "OTOO",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tahmina Ahmadi
• Hamza Riaz Ahmed
• Iqrah Ahmed
• Maha Habib Ahmed, OD
• Syed Ahmed, DDS
• Luz Aispuro
• Eihab Akary, MD
• Jahmilya Akbar
• Beheshta Akbari
• Sajad Akbari

• Family Nurse Practitioner in Modesto, CA
• Providers in Modesto, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.

Verify at the official NPI Registry.