Individual provider Active NPI

Aparna Yadatore, M.D.

  • Pediatrics Physician
  • Modesto, CA
National Provider Identifier
1689014821
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A148533 Issued in CA
Practice address
1510 Florida Ave
Modesto, CA 95350-4437
Phone
(209) 549-7090
Fax
(209) 549-7099
NPI assigned
Jul 2, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A148533 CA Primary

Addresses

Primary practice location

1510 Florida Ave
Modesto, CA 95350-4437

Mailing address

1910 Customer Care Way
Atwater, CA 95301-5167
Phone (209) 384-6488

Other practice location 1

1114 6th St
Modesto, CA 95354-2203
Phone (209) 576-2845

Other names 1

  • Dr. Yadatore Chandrashekar Aparna Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170814002960 CA Practitioner - Pediatric Medicine 2961774781 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A148533CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Centers CurrentSince Jul 24, 2017 Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center CurrentSince Jul 24, 2017 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
Community Medical Centers, Inc. Current Accepting new patients
Community Medical Centers, Inc. CurrentSince Mar 18, 2024 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
Community Medical Centers Inc CurrentSince Mar 18, 2024 Accepting new patients
Golden Valley Health Center Current Accepting new patients

Locations

1910 Customer Care Way
Atwater, CA 95301
Phone (209) 384-6488

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

200 Cottage Ave
Ste 103
Manteca, CA 95336
Phone (209) 624-5800

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

1510 Florida Ave
Modesto, CA 95350
Phone (209) 549-7090

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

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900

7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816

730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500

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

Interoperability endpoints

  • Direct secure messaging: aparna.yadatore.p1@direct.cmcentersinc.nextgenshare.com
  • Direct secure messaging: ayadatore761617@direct.ochin.org

Organizations & group practices 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689014821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 CUSTOMER CARE WAY",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015167",
            "telephone_number": "209-384-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 FLORIDA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504437",
            "telephone_number": "209-549-7090",
            "fax_number": "209-549-7099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1114 6th St",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953542203",
            "country_code": "US",
            "telephone_number": "209-576-2845",
            "fax_number": "209-576-8842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YADATORE",
        "first_name": "APARNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A148533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YADATORE",
            "last_name": "APARNA",
            "middle_name": "CHANDRASHEKAR",
            "prefix": "DR.",
            "credential": "MBBS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.