Orangeburg Medical Group

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ORANGEBURG MEDICAL GROUP

Practice address

1448 Florida Ave
Modesto, CA 95350-4424

Phone

(209) 343-8126

Fax

(209) 523-2566

NPI assigned

Feb 14, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Arthur Lee Hill

Title

Administrator

Phone

(206) 343-8126

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.505006

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christina Chan, M.D.

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1710074000
  Medicare reassignment Care Compare group NPD
• Alina Haider, MD

  • Adult Medicine Physician
  • Modesto, CA
  • NPI 1982264230
  Medicare reassignment Care Compare group NPD
• Miguel A. Hernandez, M.D.

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1376643213
  Medicare reassignment Care Compare group NPD
• Alex E. Mari, M.D.

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1609976562
  Medicare reassignment Care Compare group NPD
• Russell Trexler Porter, MD

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1174545362
  Medicare reassignment Care Compare group NPD
• Manmeet Singh Shergill, M.D.

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1184818031
  Medicare reassignment Care Compare group NPD
• Jose L. Banuelos Jr., M.D.

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1427158351
  Medicare reassignment NPD
• Margaret Baker, FNPC

  • Family Nurse Practitioner
  • Modesto, CA
  • NPI 1023172509
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1467595389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 FLORIDA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504424",
            "telephone_number": "209-343-8126",
            "fax_number": "209-523-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 FLORIDA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504424",
            "telephone_number": "209-343-8126",
            "fax_number": "209-523-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGEBURG MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "206-343-8126",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0021000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ontiveros
• Daniel Onwugbolu, MD
• Aung Naing Oo, M.D
• Davis Moindi Openda, N.P.
• Optimum ABA Services
• Mia Lyla Orante
• Cinthia Ordaz, LMFT
• Felix Orlando Ordonez Jr.
• Monseratt Damian Ordonez
• Marissa Ann Orduno

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.