Individual provider Active NPI

Nandeesh Veerappa, MD

  • Family Medicine Physician
  • Modesto, CA
National Provider Identifier
1508834938
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A86330 Issued in CA
Practice address
1320 Celeste Dr
Modesto, CA 95355-2402
Phone
(209) 527-6900
Fax
(209) 543-6280
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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 A86330 CA Primary

Addresses

Primary practice location

1320 Celeste Dr
Modesto, CA 95355-2402

Mailing address

1320 Celeste Dr
Modesto, CA 95355-2402
Phone (209) 527-6900

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
I20050411001121 CA Practitioner - Family Practice 1658318704 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Best Healthcare Access NorcalGroup PAC ID 7012375702, 2 clinicians
Community Health Centers of AmericaGroup PAC ID 3476813460, 112 clinicians

Practice addresses (Care Compare)

1320 Celeste Dr
Modesto, CA 95355-2402

446 Old County Rd
Suite 250
Pacifica, CA 94044-3272
Phone (415) 408-6100

489 5TH St
Gustine, CA 95322-1514

5320 Hwy 49 N
Suite 1 3
Mariposa, CA 95338-9588
Phone (209) 966-2344

9582 Albert Dr
Dublin, CA 94568-4238
Phone (209) 552-9145

Hospital & facility affiliations

  • St Joseph Home Health Home health agency, Milpitas, CA, CCN 059009
  • Gateway Home Health Corp. Home health agency, San Ramon, CA, CCN 053129
  • Alert Home Health Care Home health agency, Dublin, CA, CCN 059273
  • San Luis Care Center Nursing home, Newman, CA, CCN 055839
  • Golden Modesto Care Center Nursing home, Modesto, CA, CCN 056301

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A86330CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Medical Group of Modesto a Professional Corp Family Medicine CurrentSince Jun 26, 2015 Accepting new patients
County of Stanislaus CurrentSince May 1, 2005 Accepting new patients
Omega Health Clinics Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Community Health Centers of America Family Medicine CurrentSince Apr 26, 2018 Accepting new patients
Best Healthcare Access Norcal CurrentSince Jan 19, 2024 Accepting new patients
County of Stanislaus CurrentSince May 1, 2005 Accepting new patients
Community Health Centers of America CurrentSince Apr 26, 2018 Accepting new patients
County of Stanislaus Current Accepting new patients
Nandeesh Veerappa MD Inc CurrentSince Mar 13, 2020 Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

101 N Front St
Chowchilla, CA 93610
Phone (559) 201-9181

101 N Front St
Ste B
Chowchilla, CA 93610
Phone (559) 201-9181

6608 Mercy Ct
Fair Oaks, CA 95628
Phone (916) 277-8881

6608 Mercy Ct
Ste B
Fair Oaks, CA 95628
Phone (916) 277-8881

7085 N Maple Ave
Fresno, CA 93720
Phone (559) 325-7100

489 5th St
Gustine, CA 95322
Phone (209) 854-3728

554 5th St
Gustine, CA 95322
Phone (209) 391-8854

554 5th St
Ste A
Gustine, CA 95322

517 Main St
#A
Livingston, CA 95334
Phone (209) 445-2388

517 Main St
Livingston, CA 95334
Phone (209) 445-2388

5320 State Highway 49 N
Mariposa, CA 95338
Phone (209) 383-5200

5320 State Highway 49 N
Ste 1
Mariposa, CA 95338
Phone (209) 966-2225

5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344

733 3rd St
Mc Farland, CA 93250
Phone (661) 792-3097

850 W Olive Ave
Merced, CA 95348
Phone (209) 437-9410

1524 McHenry Ave
Ste 330
Modesto, CA 95350
Phone (209) 558-7085

1320 Celeste Dr
Modesto, CA 95355
Phone (209) 527-6900

2909 Coffee Rd
Ste 12B
Modesto, CA 95355
Phone (209) 554-4181

2909 Coffee Rd
Ste 12
Modesto, CA 95355
Phone (209) 484-0951

446 Old County Rd
Ste 250
Pacifica, CA 94044
Phone (415) 408-6100

2928 Eastern Ave
Sacramento, CA 95821
Phone (916) 894-8212

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGEHCD

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
San Luis Care CenterNewman, CA, CCN 055839 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2023
Jan 1, 2023
Community Health Centers of AmericaMariposa, CA, CCN 921905 Federally qualified health center Corporate Officer
W-2 Managing Employee
Operational/Managerial Control
Aug 9, 2021
Aug 9, 2021
Aug 9, 2021
Community Health Centers of AmericaMC Farland, CA, CCN 051960 Federally qualified health center Corporate Officer May 26, 2016
Community Health Centers of AmericaGustine, CA, CCN 921097 Federally qualified health center Corporate Officer May 26, 2016
Community Health Centers of AmericaFair Oaks, CA, CCN A01813 Federally qualified health center Corporate Officer May 26, 2016
Community Health Centers of AmericaSacramento, CA, CCN A01194 Federally qualified health center Corporate Officer May 26, 2016
Community Health Centers of AmericaChowchilla, CA, CCN A01819 Federally qualified health center Corporate Officer May 26, 2016
Community Health Centers of AmericaMerced, CA, CCN A01898 Federally qualified health center Corporate Officer May 26, 2016

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 5

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1508834938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 CELESTE DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552402",
            "telephone_number": "209-527-6900",
            "fax_number": "209-543-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CELESTE DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552402",
            "telephone_number": "209-527-6900",
            "fax_number": "209-543-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEERAPPA",
        "first_name": "NANDEESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A86330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.