Individual provider Active NPI

Kathy Ann Christopher, M.D.

  • Family Medicine Physician
  • Modesto, CA
National Provider Identifier
1487668273
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G077641 Issued in CA
Practice address
2020 Standiford Ave
D3
Modesto, CA 95350-6529
Phone
(209) 575-4990
Fax
(209) 575-4996
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G077641 CA Primary

Addresses

Primary practice location

2020 Standiford Ave
D3
Modesto, CA 95350-6529

Mailing address

2020 Standiford Ave
D3
Modesto, CA 95350-6529
Phone (209) 575-4990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120917000576 CA Practitioner - Family Practice 5496903478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2020 Standiford Ave
Suite D3
Modesto, CA 95350-6571
Phone (209) 575-4990

Hospital & facility affiliations

  • Lifeguard Hospice Care, Inc Hospice, Pleasanton, CA, CCN 751616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
77641CAMDPharmacist
G077641CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Health and Wellness Medical Group Inc Family Medicine CurrentSince Jan 21, 2003 Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Hill Health Inc a Medical Corporation Family Medicine PastSince Jan 4, 2016 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Family Practice Medical Group of Oakland Family Medicine Past Accepting new patients

Locations

2020 Standiford Ave
Ste D3
Modesto, CA 95350
Phone (209) 575-4990

803 Coffee Rd
Ste 11
Modesto, CA 95355
Phone (209) 575-4990

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kchristopher@christophermd.officeally.direct

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1487668273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 STANDIFORD AVE",
            "address_2": "D3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506529",
            "telephone_number": "209-575-4990",
            "fax_number": "209-575-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 STANDIFORD AVE",
            "address_2": "D3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506529",
            "telephone_number": "209-575-4990",
            "fax_number": "209-575-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPHER",
        "first_name": "KATHY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G077641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.