NPIMap

Organization Active NPI

Doctors Medical Center

  • General Acute Care Hospital
  • Modesto, CA
National Provider Identifier
1891046892
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
702167 Issued in CA
Legal business name
DOCTORS MEDICAL CENTER
Practice address
3032 Montgomery LN
Modesto, CA 95355-7997
Phone
(209) 578-1211
NPI assigned
Oct 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Mr. Brandon Gardner
Title
Cfo
Phone
(154) 839-9736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 702167 CA Primary

Addresses

Primary practice location

3032 Montgomery LN
Modesto, CA 95355-7997

Mailing address

3032 Montgomery LN
Modesto, CA 95355-7997

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MOD@Direct.Hub2.TenetHealth.com Direct

National Provider Directory

National Provider Directory
Tax ID family
DMC Professional Billing7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1891046892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 MONTGOMERY LN",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953557997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 MONTGOMERY LN",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953557997",
            "telephone_number": "209-578-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "154-839-9736",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "702167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MOD@Direct.Hub2.TenetHealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3032 Montgomery Ln",
            "city": "Modesto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953557997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 1, 2025; 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.