NPIMap

Organization Active NPI

Stanislaus Family Medicine Residency

  • Student in an Organized Health Care Education/Training Program
  • Modesto, CA
National Provider Identifier
1861626616
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
STANISLAUS FAMILY MEDICINE RESIDENCY
Practice address
401 Paradise Rd Ste E
Modesto, CA 95351-3163
Phone
(209) 558-4000
NPI assigned
May 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Dr. Hossein Hassani
Title
Redident Physician
Phone
(707) 416-1796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

401 Paradise Rd Ste E
Modesto, CA 95351-3163

Mailing address

1934 Chelsea Ave
Modesto, CA 95350-2810

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1861626616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 CHELSEA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953502810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PARADISE RD STE E",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953513163",
            "telephone_number": "209-558-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANISLAUS FAMILY MEDICINE RESIDENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "HASSANI",
        "authorized_official_first_name": "HOSSEIN",
        "authorized_official_title_or_position": "REDIDENT PHYSICIAN",
        "authorized_official_telephone_number": "707-416-1796",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "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 May 7, 2009; 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.