Individual provider Active NPI

Tana Seneewong

  • Family Medicine Physician
  • Modesto, CA
National Provider Identifier
1447786587
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A164560 Issued in CA
Practice address
1400 Florida Ave
Modesto, CA 95350-4422
Phone
(209) 576-3528
NPI assigned
May 10, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A164560 CA
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A164560 CA Primary

Addresses

Primary practice location

1400 Florida Ave
Modesto, CA 95350-4422

Mailing address

158 Walker Ranch Pkwy
Patterson, CA 95363-8811

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200717000244 CA Practitioner - Family PracticePractitioner - Emergency Medicine 1254755713 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

825 Delbon Ave
Turlock, CA 95382-2016
Phone (209) 667-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.77 of 100Reported as group
Quality
46.95
Improvement activities
40
Cost
76.49

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A164560CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-California Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Cep America - California Single Specialty Current Accepting new patients
Hospitalists of Modesto Medical Group Inc Single Specialty CurrentSince Jul 7, 2020 Accepting new patients
Scenic Faculty Medical Group, Inc. Single Specialty CurrentSince Aug 1, 2020 Accepting new patients
Hospitalists of Modesto Medical Group Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2412 3rd St
Hughson, CA 95326
Phone (209) 558-7250

1031 15th St
Ste 6
Modesto, CA 95354
Phone (209) 558-8400

830 Scenic Dr
Modesto, CA 95350
Phone (209) 558-7000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

401 Paradise Rd
Ste E
Modesto, CA 95351
Phone (209) 558-4000

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1700 McHenry Ave
Ste 65B
Modesto, CA 95350
Phone (209) 581-7063

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1447786587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 WALKER RANCH PKWY",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953638811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FLORIDA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504422",
            "telephone_number": "209-576-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENEEWONG",
        "first_name": "TANA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-10",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A164560",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A164560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.