Active NPI
Thomas Joseph Kaschak, M.D.
- Orthopaedic Surgery Physician
- Modesto, CA
National Provider Identifier
1770607483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G67586
- Practice address
- 1700 Coffee Road
Modesto, CA 95355 - Phone
- (209) 521-8490
- Fax
- (209) 521-8103
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G67586 | CA | Primary |
Addresses
Primary practice location
1700 Coffee Road
Modesto, CA 95355
Mailing address
3983 S. McCarran Blvd., #232
Reno, NV 89502-7510
Phone (702) 490-6950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G675861 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1770607483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3983 S. MCCARRAN BLVD., #232",
"city": "RENO",
"state": "NV",
"postal_code": "895027510",
"telephone_number": "702-490-6950",
"fax_number": "559-473-4544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 COFFEE ROAD",
"city": "MODESTO",
"state": "CA",
"postal_code": "95355",
"telephone_number": "209-521-8490",
"fax_number": "209-521-8103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASCHAK",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G67586",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G675861",
"state": "CA"
}
],
"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 Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.