Active NPI
Kamalullah Yusufzie, M.D.
- Internal Medicine Physician
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A94145
- Practice address
- 2717 Prosperity Way
Modesto, CA 95355-8647 - Phone
- (209) 526-3863
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TP351 | KY | |
| Adult Medicine Physician | 207QA0505X | A94145 | CA | |
| Internal Medicine Physician | 207R00000X | A94145 | CA | Primary |
Addresses
Primary practice location
2717 Prosperity Way
Modesto, CA 95355-8647
Mailing address
2717 Prosperity Way
Modesto, CA 95355-8647
Phone (209) 526-3863
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A94145 | CA | MD | Internal Medicine Physician |
| 94145 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merced Hospitalist Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Hospitalists of Modesto Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| West Coast Hospitalists PC | Internal Medicine | Past | Accepting new patients |
| Norton Enterprises, Inc. | Past | Accepting new patients | |
| Gold Country Emergency Physicians Medical Group Inc | Past | Accepting new patients |
Locations
333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
1700 McHenry Ave
Ste 65B
Modesto, CA 95350
Phone (209) 581-7063
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Modesto, CA
- NPI 1821190711
-
- Internal Medicine Physician
- Merced, CA
- NPI 1730431875
-
- Hospitalist Physician
- Turlock, CA
- NPI 1174825947
-
- Internal Medicine Physician
- Merced, CA
- NPI 1982919064
-
- Urgent Care Clinic/Center
- Louisville, KY
- NPI 1104863562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356652800000",
"number": "1497710594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 PROSPERITY WAY",
"city": "MODESTO",
"state": "CA",
"postal_code": "953558647",
"telephone_number": "209-526-3863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 PROSPERITY WAY",
"city": "MODESTO",
"state": "CA",
"postal_code": "953558647",
"telephone_number": "209-526-3863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUSUFZIE",
"first_name": "KAMALULLAH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2012-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "TP351",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "CA",
"license": "A94145",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A94145",
"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 Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.