James Richard Payne, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G45465 Issued in CA

Practice address

1334 Nelson Ave
Modesto, CA 95350-5341

Phone

(209) 524-9904

Fax

(209) 524-4101

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1467477133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 N STAR WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569262",
            "telephone_number": "209-345-2300",
            "fax_number": "209-524-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 NELSON AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505341",
            "telephone_number": "209-524-9904",
            "fax_number": "209-524-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G45465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467477133",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrianne Eisabel Payan, MS, CCC-SLP
• Alyse Payan
• Raeleigh Crawford Payanes, M.D.
• Angeline Amango Payangdo-Alican, RN
• Donna J Payne
• Kristen Joy Payne
• Marlena Payne, BHS
• William Paz-Navarro
• Aliana Paz
• Idabel Paz

• Plastic Surgery Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.