Organization Active NPI

American Paramed

  • Other Technician
  • Modesto, CA
National Provider Identifier
1477848869
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
CPT00017343 Issued in CA
Legal business name
AMERICAN PARAMED
Practice address
3817 Ruffed Grouse LN
Modesto, CA 95355-8506
Phone
(209) 846-4270
Fax
(209) 551-1253
NPI assigned
Jun 14, 2011
Last updated
Jun 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Authorized official

Name
Mrs. Nichole Ann Enriquez, CPT-1
Title
Owner/Paramedical Examiner/Phlebo
Phone
(209) 846-4270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247200000X CPT00017343 CA Primary

Addresses

Primary practice location

3817 Ruffed Grouse LN
Modesto, CA 95355-8506

Mailing address

3817 Ruffed Grouse LN
Modesto, CA 95355-8506
Phone (209) 846-4270

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1477848869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 RUFFED GROUSE LN",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953558506",
            "telephone_number": "209-846-4270",
            "fax_number": "209-551-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 RUFFED GROUSE LN",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953558506",
            "telephone_number": "209-846-4270",
            "fax_number": "209-551-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN PARAMED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "ENRIQUEZ",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PARAMEDICAL EXAMINER/PHLEBO",
        "authorized_official_telephone_number": "209-846-4270",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPT-1"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": "CA",
            "license": "CPT00017343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 14, 2011; 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.