Prithvi Shankar, M.D., Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A92177 Issued in CA

Legal business name

PRITHVI SHANKAR, M.D., INC

Practice address

400 E Orangeburg Ave
Ste 13
Modesto, CA 95350-5342

Phone

(209) 578-1600

Fax

(209) 578-1088

NPI assigned

Feb 28, 2012

Last updated

Oct 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Prithvi N Shankar, M.D.NPI 1790772838

Title

Owner/President

Phone

(209) 578-1600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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.

• Prithvi Nambalat Shankar, MD

  • Internal Medicine Physician
  • Modesto, CA
  • NPI 1790772838
  Medicare reassignment Authorized official
• Charley Chips Beck, FNP

  • Family Nurse Practitioner
  • Modesto, CA
  • NPI 1871255315
  NPD
• Eva Lili Padilla, NP

  • Family Nurse Practitioner
  • Modesto, CA
  • NPI 1700222627
  NPD (past)

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1750655429",
    "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",
            "address_2": "STE 13",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505342",
            "telephone_number": "209-578-1600",
            "fax_number": "209-578-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRITHVI SHANKAR, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "SHANKAR",
        "authorized_official_first_name": "PRITHVI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "209-578-1600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A92177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Price
• Rachel Price
• Rebecca Ann Pride Freeman, CRT RCP
• Angie Prieto
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• Professional Reliable Nursing Service Inc (Addus HealthCare)

• Internal Medicine Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.