Active NPI
Delbert Morris, M.D.
- Family Medicine Physician
- Modesto, CA
National Provider Identifier
1861409682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G75563
- Practice address
- 401 Paradise Rd
Suite E
Modesto, CA 95351-3104 - Phone
- (209) 558-4000
- Fax
- (209) 558-5066
- NPI assigned
- Aug 2, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G75563 | CA | Primary |
Addresses
Primary practice location
401 Paradise Rd
Suite E
Modesto, CA 95351-3104
Mailing address
830 Scenic Dr
Modesto, CA 95350-6131
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G75563 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Stanislaus | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1902765993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1861409682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 SCENIC DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953506131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 PARADISE RD",
"address_2": "SUITE E",
"city": "MODESTO",
"state": "CA",
"postal_code": "953513104",
"telephone_number": "209-558-4000",
"fax_number": "209-558-5066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "DELBERT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G75563",
"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 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.