Active NPI
Modesto on-Call Services, LLC
- Neurology Physician
- Modesto, CA
National Provider Identifier
1710009022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- MODESTO ON-CALL SERVICES, LLC
- Practice address
- 1441 Florida Ave
Modesto, CA 95350-4405 - Phone
- (209) 342-3124
- Fax
- (209) 342-3123
- NPI assigned
- Apr 6, 2007
- Last updated
- Jun 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald Kaufman
- Title
- Regional Cmo; Tenet
- Phone
- (714) 428-6812
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | NU | Primary |
Addresses
Primary practice location
1441 Florida Ave
Modesto, CA 95350-4405
Mailing address
1441 Florida Ave
Modesto, CA 95350-4405
Phone (209) 342-3124
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
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- Santa Ana, CA
- NPI 1053302000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465344000000",
"number": "1710009022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 FLORIDA AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504405",
"telephone_number": "209-342-3124",
"fax_number": "209-342-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 FLORIDA AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504405",
"telephone_number": "209-342-3124",
"fax_number": "209-342-3123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODESTO ON-CALL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2016-06-08",
"status": "A",
"authorized_official_last_name": "KAUFMAN",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "REGIONAL CMO; TENET",
"authorized_official_telephone_number": "714-428-6812",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
- Modesto Kidney Medical Group
- Modesto Mental Health Consultants Inc a Professional Medical Corp
- Modesto Mobility Center Inc.
- Modesto Natural Birth Place
- Modesto Neonatal Medical Group, Inc.
- Modesto Optometric Vision Center Inc a Professional Optometric Corp
- Modesto Orthopedic Group
- Modesto Orthopedic Medical Group (Modesto Orthopedic Group)
- Modesto Pain Diagnostic Treatment Center
- Modesto Pediatrics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.