Active NPI
Teresa I Limjoco, MD
- Anatomic Pathology & Clinical Pathology Physician
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 19698
- Practice address
- 4301 Northstar Way
Modesto, CA 95356-9262 - Phone
- (209) 577-1200
- Fax
- (209) 577-6517
- NPI assigned
- Mar 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 19698 | WV | Primary |
Addresses
Primary practice location
4301 Northstar Way
Modesto, CA 95356-9262
Mailing address
PO Box 576768
Modesto, CA 95357-6768
Phone (209) 577-1200
Other practice location 1
1600 Medical Center Dr
Suite B510
Huntington, WV 25701-3656
Phone (304) 691-8850
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6600029000 | Medicaid | WV | |
| 64014640 | Medicaid | KY | |
| 2130394 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4301 N Star Way
Suite a
Modesto, CA 95356-9262
Phone (209) 577-1200
Hospital & facility affiliations
- Adventist Health Bakersfield
- Adventist Health Delano
- Adventist Health Tehachapi Valley
Merit-based Incentive Payment System (MIPS)
- Final score
- 53.37 of 100
- Quality
- 41.06
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yosemite Pathology Medical Group, Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Bakersfield Pathology Medical Group | Past | Accepting new patients | |
| University Physicians & Surgeons, Inc. | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| University Physicians & Surgeons, Inc | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Yosemite Pathology Medical Group, in | Past | Accepting new patients | |
| University Physicians & Surgeons, Inc. | Past | Accepting new patients |
Locations
2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545
3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000
5001 Commerce Dr
Bakersfield, CA 93309
Phone (661) 323-5500
4301 N Star Way
Ste A
Modesto, CA 95356
4301 N Star Way
Modesto, CA 95356
Phone (915) 521-2290
1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000
400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Modesto, CA
- NPI 1598760985
-
- Clinical Medical Laboratory
- Bakersfield, CA
- NPI 1033362363
-
- Clinical Medical Laboratory
- Tracy, CA
- NPI 1114192176
-
- Internal Medicine Physician
- Huntington, WV
- NPI 1730183286
Anatomic Pathology & Clinical Pathology
-
- Health & Wellness Coach
- Louisa, KY
- NPI 1073256665
-
- Anatomic Pathology & Clinical Pathology Physician
- Huntington, WV
- NPI 1144224775
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Delano, CA
- NPI 1144237272
-
- Critical Access Hospital
- Tehachapi, CA
- NPI 1275538530
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1538157508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1831158880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 576768",
"city": "MODESTO",
"state": "CA",
"postal_code": "953576768",
"telephone_number": "209-577-1200",
"fax_number": "209-577-6517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 NORTHSTAR WAY",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569262",
"telephone_number": "209-577-1200",
"fax_number": "209-577-6517"
}
],
"practiceLocations": [
{
"address_1": "1600 Medical Center Dr",
"address_2": "Suite B510",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "WV",
"postal_code": "257013656",
"country_code": "US",
"telephone_number": "304-691-8850",
"fax_number": "304-523-9470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIMJOCO",
"first_name": "TERESA",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-20",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WV",
"license": "19698",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6600029000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64014640",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2130394",
"state": "OH"
}
],
"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 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.