NPIMap

Organization Active NPI

Verdant Health Care, Inc.

  • Internal Medicine Physician
  • Modesto, CA
National Provider Identifier
1720598097
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A92177 Issued in CA
Legal business name
VERDANT HEALTH CARE, INC.
Practice address
400 E Orangeburg Ave Ste 3
Modesto, CA 95350-5365
Phone
(209) 578-1600
Fax
(209) 578-1088
NPI assigned
Oct 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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

Authorized official

Name
Prithvi Shankar, MDNPI 1790772838
Title
President/Owner
Phone
(209) 578-1600

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A92177 CA Primary

Addresses

Primary practice location

400 E Orangeburg Ave Ste 3
Modesto, CA 95350-5365

Mailing address

PO Box 579225
Modesto, CA 95357-9225
Phone (209) 578-1600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1720598097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579225",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953579225",
            "telephone_number": "209-578-1600",
            "fax_number": "209-578-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E ORANGEBURG AVE STE 3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505365",
            "telephone_number": "209-578-1600",
            "fax_number": "209-578-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDANT HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "SHANKAR",
        "authorized_official_first_name": "PRITHVI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "209-578-1600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A92177",
            "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 Oct 2, 2017; 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.