Organization Active NPI

Anuradha Dubey, M.D., Inc

  • Pediatrics Physician
  • Modesto, CA
National Provider Identifier
1720432438
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ANURADHA DUBEY, M.D., INC
Practice address
4312 Spyres Way
Modesto, CA 95356
Phone
(209) 497-6767
Fax
(209) 497-6565
NPI assigned
Apr 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Dr. Anuradha Dubey, M.D.NPI 1588646004
Title
Ceo
Phone
(209) 497-6767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

4312 Spyres Way
Modesto, CA 95356

Mailing address

4312 Spyres Way
Modesto, CA 95356-9259
Phone (209) 497-6767

Other practice location 1

1524 McHenry Ave
Ste. 520
Modesto, CA 95350-4500
Phone (209) 497-6767

National Provider Directory

National Provider Directory

Locations

1524 McHenry Ave
Ste 520
Modesto, CA 95350
Phone (209) 527-5555

4312 Spyres Way
Modesto, CA 95356
Phone (209) 233-5718

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1720432438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 SPYRES WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569259",
            "telephone_number": "209-497-6767",
            "fax_number": "209-497-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 SPYRES WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95356",
            "telephone_number": "209-497-6767",
            "fax_number": "209-497-6565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1524 McHenry Ave",
            "address_2": "Ste. 520",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953504500",
            "country_code": "US",
            "telephone_number": "209-497-6767",
            "fax_number": "209-497-6565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANURADHA DUBEY, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "DUBEY",
        "authorized_official_first_name": "ANURADHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-497-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.