Active NPI
Ronald J. Mostowski,Chiropractic, Inc.
- Chiropractor
- Modesto, CA
National Provider Identifier
1457571648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15328
- Legal business name
- RONALD J. MOSTOWSKI,CHIROPRACTIC, INC.
- Practice address
- 1500 Standiford Ave
BLDG. B
Modesto, CA 95350-0592 - Phone
- (209) 577-3300
- Fax
- (209) 577-3569
- NPI assigned
- Apr 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald J. Mostowski, D.C.
- Title
- Chiropractor
- Phone
- (209) 577-3300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15328 | CA | Primary |
Addresses
Primary practice location
1500 Standiford Ave
BLDG. B
Modesto, CA 95350-0592
Mailing address
1500 Standiford Ave
BLDG. B
Modesto, CA 95350-0592
Phone (209) 577-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GDC000580 | Medicaid | CA |
Other names 1
- DBA MODESTO FAMILY CHIROPRACTIC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Modesto, CA
- NPI 1639176944
-
- Chiropractor
- Modesto, CA
- NPI 1154309920
-
- Chiropractor
- Modesto, CA
- NPI 1184614521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1457571648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 STANDIFORD AVE",
"address_2": "BLDG. B",
"city": "MODESTO",
"state": "CA",
"postal_code": "953500592",
"telephone_number": "209-577-3300",
"fax_number": "209-577-3569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 STANDIFORD AVE",
"address_2": "BLDG. B",
"city": "MODESTO",
"state": "CA",
"postal_code": "953500592",
"telephone_number": "209-577-3300",
"fax_number": "209-577-3569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD J. MOSTOWSKI,CHIROPRACTIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MOSTOWSKI",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "209-577-3300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "15328",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GDC000580",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DBA MODESTO FAMILY CHIROPRACTIC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Modesto, CA
Sources for this page
- 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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.