Clair L. Pettinger, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G29874 Issued in CA

Practice address

4707 Greenleaf CT
Suite a
Modesto, CA 95356-8733

Phone

(209) 338-1550

Fax

(209) 545-2404

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nate Pettinger Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greenleaf Management

  • Urgent Care Clinic/Center
  • Modesto, CA
  • NPI 1619223062
  NPD
• California Em-I Medical Services, a Medical Corporation

  • Emergency Medicine Physician
  • Lake Isabella, CA
  • NPI 1053360156
  NPD (past)
• Emergency Medicine Physician Partners of Calaveras County, Inc

  • Emergency Medicine Physician
  • San Andreas, CA
  • NPI 1174824114
  NPD (past)
• Premier Emergency Physicians of California Medical Group PC

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1184673923
  NPD (past)
• Six Rivers Emergency Physicians

  • Emergency Medicine Physician
  • Arcata, CA
  • NPI 1396786026
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1487662631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 GREENLEAF CT",
            "address_2": "SUITE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568733",
            "telephone_number": "209-338-1550",
            "fax_number": "209-545-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 GREENLEAF CT",
            "address_2": "SUITE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568733",
            "telephone_number": "209-338-1550",
            "fax_number": "209-545-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTINGER",
        "first_name": "CLAIR",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G29874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATE",
            "last_name": "PETTINGER",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nyssa Petriz
• Cheril Nicole Petroni
• Joseph Lido Petroni II, LMFT
• Ekaterina Nikolaevna Petrova, MD
• Jonathan Matthew Pettegrew, D.O.
• Monique Pettis, M.A., ED.S., PPS
• Sofia Ekaterina Pettygrove
• Katherine Marcela Pettyjohn, FNP-BC
• Rosa Peverini, MD
• Brad Edward Pezoldt, DDS MSD

• Emergency Medicine Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.