Organization Active NPI

Jose Limon M.D. Inc.

  • Family Medicine Physician
  • Modesto, CA
National Provider Identifier
1871783142
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A80753 Issued in CA
Legal business name
JOSE LIMON M.D. INC.
Practice address
1809 Bumgardner CT
Modesto, CA 95355-9295
Phone
(209) 204-0064
Fax
(619) 270-2521
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Jose G Limon-Olivares, MD
Title
Secretary
Phone
(209) 204-0064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A80753 CA Primary

Addresses

Primary practice location

1809 Bumgardner CT
Modesto, CA 95355-9295

Mailing address

1809 Bumgardner CT
Modesto, CA 95355-9295
Phone (209) 204-0064

Other identifiers 1

IdentifierTypeStateIssuer
1326035726OtherCANPPES

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1871783142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 BUMGARDNER CT",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953559295",
            "telephone_number": "209-204-0064",
            "fax_number": "619-270-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 BUMGARDNER CT",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953559295",
            "telephone_number": "209-204-0064",
            "fax_number": "619-270-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE LIMON M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "LIMON-OLIVARES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "209-204-0064",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A80753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1326035726",
            "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, 2007; 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.