Maria Profeta

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

121 Downey Ave
Suite 102
Modesto, CA 95354-1208

Phone

(209) 558-8698

Fax

(209) 558-8648

NPI assigned

Jan 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Stanislaus County, Dept of Aging and Veterans Services, MSSP

  • Case Management Agency
  • Modesto, CA
  • NPI 1639592421
  NPD (past)

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1891970232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DOWNEY AVE",
            "address_2": "SUITE 102",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541208",
            "telephone_number": "209-558-8698",
            "fax_number": "209-558-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DOWNEY AVE",
            "address_2": "SUITE 102",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541208",
            "telephone_number": "209-558-8698",
            "fax_number": "209-558-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFETA",
        "first_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priti Modi, M.D. Inc.
• Private Healthcare Facilities
• Alyssa Proeung
• Professional Pathology Billing Services, LLC
• Professional Reliable Nursing Service Inc
• Progressive Home Health and Hospice Care, LLC
• Progressive Home Health and Hospice Care, LLC
• Progressive Pharmacy, LLC
• Progressive Specialty Therapy Services LLC
• Progressive Urgent Care Inc

• Case Manager/Care Coordinator in Modesto, CA
• Providers in Modesto, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.