Active NPI
Antonio E. Apellanes, MD
- Pediatrics Physician
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A61655
- Practice address
- 2101 Tenaya Dr
Modesto, CA 95354-3930 - Phone
- (209) 576-6766
- Fax
- (209) 576-6770
- NPI assigned
- Nov 18, 2005
- Last updated
- Nov 15, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A61655 | CA | Primary |
Addresses
Primary practice location
2101 Tenaya Dr
Modesto, CA 95354-3930
Mailing address
737 W Childs Ave
Merced, CA 95341-6805
Phone (209) 385-5481
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A616550 | Medicaid | CA | |
| 00A616550 | Other | CA | BLUE SHIELD OF CA PIN |
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 |
|---|---|---|---|
| A61655 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Health Centers | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Centers | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Doctors Medical Center of Modesto, Inc. | Past | Accepting new patients | |
| Golden Valley Health Center | Past | Accepting new patients |
Locations
1910 Customer Care Way
Atwater, CA 95301
Phone (209) 384-6488
1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111
13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900
821 Texas Ave
Los Banos, CA 93635
Phone (209) 384-6495
250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299
3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104
737 W Childs Ave
Merced, CA 95341
Phone (209) 383-1848
797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871
847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441
1114 6th St
Modesto, CA 95354
Phone (209) 576-2845
1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437
1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071
2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 527-0080
637 Merced St
Newman, CA 95360
Phone (209) 862-0270
200 C St
Patterson, CA 95363
Phone (209) 892-8441
9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253
4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900
1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 16
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.
-
- Federally Qualified Health Center (FQHC)
- Turlock, CA
- NPI 1356445753
-
- Federally Qualified Health Center (FQHC)
- Planada, CA
- NPI 1235114745
-
- Federally Qualified Health Center (FQHC)
- Ceres, CA
- NPI 1316393010
-
- Federally Qualified Health Center (FQHC)
- Modesto, CA
- NPI 1346224417
-
- Federally Qualified Health Center (FQHC)
- Le Grand, CA
- NPI 1356325310
-
- Federally Qualified Health Center (FQHC)
- Merced, CA
- NPI 1508333253
-
- Federally Qualified Health Center (FQHC)
- Modesto, CA
- NPI 1518298306
-
- Federally Qualified Health Center (FQHC)
- Merced, CA
- NPI 1528042512
-
- Federally Qualified Health Center (FQHC)
- Newman, CA
- NPI 1689658668
-
- Federally Qualified Health Center (FQHC)
- Los Banos, CA
- NPI 1730163734
-
- Federally Qualified Health Center (FQHC)
- Dos Palos, CA
- NPI 1770567778
-
- Federally Qualified Health Center (FQHC)
- Westley, CA
- NPI 1770568347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510704000000",
"number": "1679555213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 W CHILDS AVE",
"city": "MERCED",
"state": "CA",
"postal_code": "953416805",
"telephone_number": "209-385-5481",
"fax_number": "209-383-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 TENAYA DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953543930",
"telephone_number": "209-576-6766",
"fax_number": "209-576-6770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APELLANES",
"first_name": "ANTONIO",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2017-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A61655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A616550",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA PIN",
"identifier": "00A616550",
"state": "CA"
}
],
"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 Nov 15, 2017; 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.