Reza Vafadouste MD a Medical Corporation

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A79905 Issued in CA

Legal business name

REZA VAFADOUSTE MD A MEDICAL CORPORATION

Doing business as

Modesto Turlock Merced Heart & Vascular Institute

Practice address

850 W Olive Ave
Suite a
Merced, CA 95348-2427

Phone

(209) 725-1990

Fax

(209) 529-3260

NPI assigned

May 28, 2009

Last updated

Jul 13, 2010By 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

Ms. June Adams

Title

Office Manager

Phone

(209) 575-4575

Specialties & licenses 2

Addresses

Other names 1

• MODESTO TURLOCK MERCED HEART & VASCULAR INSTITUTE Doing business as

Tax ID family

Modesto Turlock Merced Heart Vascular Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Reza Vafadouste MD a Medical Corporation

  • Cardiovascular Disease Physician
  • Turlock, CA
  • NPI 1528235561
  NPD tax ID

Practitioners 1

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.

• Gholamreza Vafadouste, MD

  • Cardiovascular Disease Physician
  • Turlock, CA
  • NPI 1164470639
  NPD (past)

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1518192038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4398",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953524398",
            "telephone_number": "209-575-4575",
            "fax_number": "209-529-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W OLIVE AVE",
            "address_2": "SUITE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482427",
            "telephone_number": "209-725-1990",
            "fax_number": "209-529-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA VAFADOUSTE MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "209-575-4575",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A79905",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A100098",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MODESTO TURLOCK MERCED HEART & VASCULAR INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yamily Reyes
• Lisa Marie Reyna, RN
• David Reynoso
• Laura Ann Reynoso
• Yadira Reynoso
• Jolene Rhoades
• Nakia Frenchelle Rhodes
• Cheryl Ann Rice, P.T.
• Chelsey Lee Richardson
• La Quita D Richardson

• Cardiovascular Disease Physician in Merced, CA
• Providers in Merced, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.