Active NPI
Alfredo Asuncion Jr., M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Modesto, CA
National Provider Identifier
1457329872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A68010
- Practice address
- 4301 Northstar Way
Modesto, CA 95356-9262 - Phone
- (209) 577-1200
- Fax
- (209) 577-6517
- NPI assigned
- Mar 10, 2006
- Last updated
- Apr 30, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A68010 | CA | Primary |
Addresses
Primary practice location
4301 Northstar Way
Modesto, CA 95356-9262
Mailing address
4301 Northstar Way
Modesto, CA 95356-9262
Phone (209) 577-1200
Other practice location 1
8308 Quail Springs Way
Sacramento, CA 95829-8141
Phone (916) 606-5118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A68010 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yosemite Pathology Medical Group, in | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Medical Laboratory
- Tracy, CA
- NPI 1114192176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588204800000",
"number": "1457329872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 NORTHSTAR WAY",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569262",
"telephone_number": "209-577-1200",
"fax_number": "209-577-6517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 NORTHSTAR WAY",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569262",
"telephone_number": "209-577-1200",
"fax_number": "209-577-6517"
}
],
"practiceLocations": [
{
"address_1": "8308 Quail Springs Way",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958298141",
"country_code": "US",
"telephone_number": "916-606-5118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASUNCION",
"first_name": "ALFREDO",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A68010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.