Valley Oak Pediatric Associates

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

VALLEY OAK PEDIATRIC ASSOCIATES

Practice address

4120 Prescott Rd
Modesto, CA 95356-8418

Phone

(209) 544-7300

Fax

(209) 544-7323

NPI assigned

Oct 5, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sarah L Koch, MDNPI 1932196458

Title

President

Phone

(209) 544-7300

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Koch, MD

  • Pediatrics Physician
  • Modesto, CA
  • NPI 1932196458
  Authorized official Same address or phone
• Philip Bauman, MD

  • Pediatrics Physician
  • Modesto, CA
  • NPI 1457348872
  NPD (past)
• Loan K. Bui-Thompson, DO

  • Pediatrics Physician
  • Stockton, CA
  • NPI 1316025810
  NPD (past)
• Christine Yaju Chan, M.D.

  • Pediatrics Physician
  • Modesto, CA
  • NPI 1558471508
  NPD (past)
• Luyen D Pham, MD

  • Pediatrics Physician
  • Modesto, CA
  • NPI 1518973759
  NPD (past)
• William Donovan Spangler, M.D.

  • Pediatrics Physician
  • Sonora, CA
  • NPI 1194701441
  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407843345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 PRESCOTT RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568418",
            "telephone_number": "209-544-7300",
            "fax_number": "209-544-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 PRESCOTT RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568418",
            "telephone_number": "209-544-7300",
            "fax_number": "209-544-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY OAK PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-544-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDI-CAL NUMBER",
            "identifier": "GR0100530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valley Hope Community Partnership
• Valley Internist Physicians Medical Group, Inc.
• Valley Interventional Pain Medical GRP
• Valley Medical Systems, Inc. (Valley Home Care)
• Valley Nephrology Associates
• Valley Orthopaedic Bone and Joint
• Valley Physical Therapy Solutions, Inc.
• Valley Psychiatric Professional Corporation (Valley Psychiatric Associates)
• Valley Recovery Resources (Redwood Family Center)
• Valley Recovery Resources

• Pediatrics Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.