John Black VIII

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1601 Yosemite Blvd
Suite a
Modesto, CA 95354-2800

Phone

(209) 341-1824

Fax

(209) 523-1296

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417014176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5336 AVENUE D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953589445",
            "telephone_number": "209-537-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 YOSEMITE BLVD",
            "address_2": "SUITE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542800",
            "telephone_number": "209-341-1824",
            "fax_number": "209-523-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JOHN",
        "name_suffix": "VIII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Maria Bitonti, PH.D, LCSW
• Jessika Bivens, HS DIPLOMA
• Sheila Bivens
• Kevin Noel Bixel, PA
• Erin L Black, LCSW
• Stacey Black
• Janice Blackmon
• James Luke Blackwell
• Brook Blair
• Keith Loren Blair, APRN-CNP

• All providers in Modesto, CA
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.