Individual provider Active NPI

Maria Obispo, NP

  • Women's Health Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1679647234
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
NP8053 Issued in CA
Practice address
1441 Florida Ave
Modesto, CA 95350-4404
Phone
(209) 576-3688
Fax
(866) 364-0091
NPI assigned
Nov 17, 2006
Last updated
Sep 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 451612 CA
Women's Health Nurse Practitioner 363LW0102X NP8053 CA Primary

Addresses

Primary practice location

1441 Florida Ave
Modesto, CA 95350-4404

Mailing address

140 E Granger Ave
Suite B
Modesto, CA 95350-4347
Phone (209) 589-1500

Other practice location 1

220 Standiford Ave
Suite F
Modesto, CA 95350-1159
Phone (209) 589-1500

Other identifiers 1

IdentifierTypeStateIssuer
4435836MedicaidCA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050602000592 CA Practitioner - Nurse Practitioner 8921041807 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
451612CAMDNurse Practitioner
NP8053CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Centers CurrentSince Aug 26, 2012 Accepting new patients
First Choice Physician Partners Current Accepting new patients
O & D Surgical and Medical Solutions Inc. CurrentSince Nov 2, 2013 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
First Choice Physician Partners CurrentSince May 1, 2025 Accepting new patients
Golden Valley Health Centers CurrentSince Aug 26, 2012 Accepting new patients
First Choice Physician Partners CurrentSince May 1, 2025 Accepting new patients
Golden Valley Health Center Current Accepting new patients
San Joaquin Valley Neonatal Medical Assocation Past Accepting new patients
First Choice Physician Partners Past Accepting new patients
Central Valley Neonatal Medical GRP Past Accepting new patients

Locations

250 Northgate Dr
Manteca, CA 95336
Phone (209) 381-7120

737 W Childs Ave
Merced, CA 95341
Phone (209) 383-1848

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1121 Hammond St
Modesto, CA 95351
Phone (209) 384-6488

140 E Granger Ave
Ste B
Modesto, CA 95350
Phone (209) 589-1500

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1541 Florida Ave
Ste 304
Modesto, CA 95350
Phone (209) 576-3832

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 527-0080

2116 E Orangeburg Ave
Ste C
Modesto, CA 95355
Phone (209) 589-1500

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 628-4435

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

Interoperability endpoints

  • Direct secure messaging: maria.obispo.1@33563.direct.athenahealth.com
  • Direct secure messaging: mobispo294259@hisp.ehr.sutterhealth.org

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1679647234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E GRANGER AVE",
            "address_2": "SUITE B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504347",
            "telephone_number": "209-589-1500",
            "fax_number": "209-521-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 FLORIDA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504404",
            "telephone_number": "209-576-3688",
            "fax_number": "866-364-0091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Standiford Ave",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953501159",
            "country_code": "US",
            "telephone_number": "209-589-1500",
            "fax_number": "209-521-0813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBISPO",
        "first_name": "MARIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "451612",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "NP8053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4435836",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.