Doctors Medical Center of Modesto, Inc.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

DOCTORS MEDICAL CENTER OF MODESTO, INC.

Practice address

1441 Florida Ave
Modesto, CA 95350

Phone

(209) 578-1211

NPI assigned

Apr 2, 2014

Organization subpart

No

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

Authorized official

Name

Greg Berry

Title

Cfo

Phone

(209) 576-3790

Specialties & licenses 2

Addresses

Other names 1

• DMC Professional Billing Doing business as

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1710305149",
    "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": "953504404",
            "telephone_number": "209-578-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 FLORIDA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95350",
            "telephone_number": "209-578-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS MEDICAL CENTER OF MODESTO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "209-576-3790"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMC Professional Billing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DMC Professional Billing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Doctors Medical Center Foundation
• Doctors Medical Center Foundation
• Doctors Medical Center of Modesto, Inc
• Doctors Medical Center of Modesto, Inc.
• Doctors Medical Center of Modesto, Inc.
• Doctors Primary Care of Modesto, Inc.
• Chathuri Senanayake Dodam Mullage, MD
• Jeffrey Alan Doelling, MD
• Gerald Benjamin Doersam, MD
• Rupali Dogra

• Hospitalist Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.