Individual provider Active NPI

Alfred A Patino, DPM

  • Podiatrist
  • Merced, CA
National Provider Identifier
1710042965
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E39690 Issued in CA
Practice address
240 E 13TH St
Merced, CA 95341-6234
Phone
(209) 262-3064
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E39690 CA Primary

Addresses

Primary practice location

240 E 13TH St
Merced, CA 95341-6234

Mailing address

220 Standiford Ave
Ste F
Modesto, CA 95350-1159
Phone (209) 579-5628

Other practice location 1

1000 Delbon Ave
Ste #8
Turlock, CA 95382
Phone (209) 632-2702

Other practice location 2

1199 Delbon Ave
Turlock, CA 95382-2006
Phone (209) 262-3064

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041222000496 CA Practitioner - Podiatry 2062470016 Reassigns benefits to 2 organizations
Practice locations: Turlock, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Delbon Ave
Suite 8
Turlock, CA 95382-2008
Phone (209) 632-2702

1065 Colorado Ave
Suite 5
Turlock, CA 95380-2761
Phone (209) 226-1357

Hospital & facility affiliations

  • Covenant Care at Home Home health agency, Turlock, CA, CCN 057571
  • Compassionate Care Home Health Agency, LLC Home health agency, Fresno, CA, CCN 058233
  • Emanuel Medical Center Hospital, Turlock, CA, CCN 050179

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue636
Removal of nail tissue1583
Removal or shaving of skin growth1048
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3969CAMDAcupuncturist
E39690CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Turlock Wound Care Inc Podiatrist CurrentSince May 12, 2021 Accepting new patients
Golden Valley Health Center CurrentSince Jul 22, 2024 Accepting new patients
Golden Valley Health Centers CurrentSince Jul 22, 2024 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Emanuel Medical Center, Inc. Past Accepting new patients
Golden State Dermatology Associates, Inc. Past Accepting new patients
West Coast Podiatry Center, Inc. Podiatrist Past Accepting new patients
Golden State Dermatology Associates, Inc. Past Accepting new patients
Richard W. Slovek, MD PC PastSince Oct 1, 2003 Accepting new patients
Golden Valley Health Center Past Accepting new patients

Locations

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) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

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

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

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

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

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

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

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

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

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

2150 Colorado Ave
Turlock, CA 95382
Phone (209) 656-0183

1065 Colorado Ave
Ste 5
Turlock, CA 95380
Phone (209) 632-2256

1141 N Olive Ave
Turlock, CA 95380
Phone (209) 667-2749

2240 W Monte Vista Ave
Turlock, CA 95382
Phone (209) 664-5150

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: alfred.patino@20836.chartlogic.direct-ci.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1710042965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 STANDIFORD AVE",
            "address_2": "STE F",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501159",
            "telephone_number": "209-579-5628",
            "fax_number": "209-579-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E 13TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416234",
            "telephone_number": "209-262-3064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Delbon Ave",
            "address_2": "Ste #8",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "95382",
            "country_code": "US",
            "telephone_number": "209-632-2702",
            "fax_number": "209-632-6227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1199 Delbon Ave",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "953822006",
            "country_code": "US",
            "telephone_number": "209-262-3064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATINO",
        "first_name": "ALFRED",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E39690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.