Anjani Thakur, MD, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A66588 Issued in CA

Legal business name

ANJANI THAKUR, MD, INC

Practice address

840 Delbon Ave
Turlock, CA 95382-2005

Phone

(209) 661-4403

Fax

(209) 656-7418

NPI assigned

Aug 10, 2006

Last updated

May 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anjani Kumar Thakur, M.D.NPI 1477509529

Title

Owner/ Medical Director

Phone

(209) 656-7400

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anjani Kumar Thakur, M.D.

  • Phlebology Physician
  • Turlock, CA
  • NPI 1477509529
  Medicare reassignment Care Compare group Authorized official
• Vijaya Thakur, M.D.

  • Phlebology Physician
  • Turlock, CA
  • NPI 1972559706
  Medicare reassignment Care Compare group NPD
• Huy Ngoc Dao, DO

  • Surgery Physician
  • Turlock, CA
  • NPI 1689694689
  Medicare reassignment NPD
• Christian Mark Stockwell

  • Family Nurse Practitioner
  • Turlock, CA
  • NPI 1568222909
  Medicare reassignment NPD
• Adriana Elizabeth Pons, PA-C, NP-C

  • Physician Assistant
  • Boise, ID
  • NPI 1073891016

  CA

  Medicare reassignment
• Jeffery R Anderson, D.C.

  • Chiropractor
  • Modesto, CA
  • NPI 1205976859
  NPD (past)
• Eric Bava, M.D.

  • Orthopaedic Surgery Physician
  • San Rafael, CA
  • NPI 1114144284
  NPD (past)
• Joe W Caporgno, D.C.

  • Chiropractor
  • Modesto, CA
  • NPI 1821194648
  NPD (past)
• James Robert Greenbarg, M.D.

  • Surgery Physician
  • Turlock, CA
  • NPI 1619990355
  NPD (past)
• Brent A Hill, D.C

  • Chiropractor
  • Modesto, CA
  • NPI 1245337864
  NPD (past)
• John William Hill, DC, FNP-C

  • Family Nurse Practitioner
  • Riverbank, CA
  • NPI 1558691030
  NPD (past)
• Tariq Mirza, M.D.

  • Ph.D. Medical Genetics
  • Modesto, CA
  • NPI 1639195654

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1508877473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 STANDIFORD AVE",
            "address_2": "SUITE F",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501159",
            "telephone_number": "209-579-5628",
            "fax_number": "209-579-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 DELBON AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822005",
            "telephone_number": "209-661-4403",
            "fax_number": "209-656-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANJANI THAKUR, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "THAKUR",
        "authorized_official_first_name": "ANJANI",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "OWNER/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "209-656-7400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A66588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A665880",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A665880",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD2771",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Dean Anderson Jr., MD
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• Jason Matthew Antonio, DPT

• Surgery Physician in Turlock, CA
• Providers in Turlock, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.