Fred Adams M.D. Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

A320550 Issued in CA

Legal business name

FRED ADAMS M.D. INC

Practice address

1400 Florida Ave
Suite 205 a
Modesto, CA 95350-4422

Phone

(209) 575-5844

Fax

(209) 575-5846

NPI assigned

Jan 9, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Fred Adams, M.D.

Title

M.D. President

Phone

(209) 575-5844

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1447597596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FLORIDA AVE STE 205A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504445",
            "telephone_number": "209-575-5844",
            "fax_number": "209-575-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FLORIDA AVE",
            "address_2": "SUITE 205 A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504422",
            "telephone_number": "209-575-5844",
            "fax_number": "209-575-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED ADAMS M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "M.D.  PRESIDENT",
        "authorized_official_telephone_number": "209-575-5844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "A320550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A320550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Modesto, CA
• Providers in Modesto, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.