Active NPI
Maria Obispo, NP
- Women's Health Nurse Practitioner
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- NP8053
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4435836 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 451612 | CA | MD | Nurse Practitioner |
| NP8053 | CA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Health Centers | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| O & D Surgical and Medical Solutions Inc. | 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 | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Golden Valley Health Centers | Current | Accepting new patients | |
| First Choice Physician Partners | Current | 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
- maria.obispo.1@33563.direct.athenahealth.com
- 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.
-
dba Greater Modesto Medical Surgical Associates
- Neurological Surgery Physician
- Modesto, CA
- NPI 1104183052
-
- Federally Qualified Health Center (FQHC)
- Turlock, CA
- NPI 1356445753
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1164768982
-
- Family Medicine Physician
- Modesto, CA
- NPI 1639406010
-
dba Desert Region Family Medicine
- Internal Medicine Physician
- La Quinta, CA
- NPI 1841621323
-
dba De La Pena Eye Clinic, A Medical Group
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
-
- Federally Qualified Health Center (FQHC)
- Planada, CA
- NPI 1235114745
-
- 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
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
- Sonia Kumari Oad
- Mary Elizabeth Oakes, MFT
- Yasser K Obaid, DDS
- Sarahi Obeirne Aragon
- Deborah L Oberkamper
- Cynthia Ocanada
- Occupational Health Centers of California, a Medical Corporation (Concentra Medical Center)
- Occupational Health Centers of California, a Medical Corporation (Concentra Medical Center)
- Occupational Health Centers of California, a Medical Corporation (Concentra Medical Center)
- Ocean H. Hu, D.D.S., Inc (Modesto Dental Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.