Dante Manalo Baes, M.D
Individual provider Active NPI Pediatrics Physician · Turlock, CA
NPI 1902089352 · NPPES record last updated Jun 5, 2017
Key facts
- NPI
- 1902089352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- A100977 (CA)
- Practice address
- 1200 W Main St
Turlock, CA 95380-5107 - Phone
- (209) 668-5388
- Fax
- (209) 668-5378
- NPI assigned
- Dec 7, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170707001258 | CA | Practitioner - Pediatric Medicine | 4789953712 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A100977 | CA | MD | Pediatrics Physician |
Practice roles (16 of 17)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Centers | Current |
Accepting new patients | |
| Golden Valley Health Centers | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current |
Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Emanuel Medical Center, Inc. | Past | Accepting new patients | |
| Golden Valley Health Center | Past | Accepting new patients | |
| Doctors Medical Center of Modesto, Inc. | Past | Accepting new patients |
Locations
1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111
13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900
821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481
250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299
797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871
737 W Childs Ave
Merced, CA 95341
Phone (209) 383-1848
847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441
3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104
2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766
1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071
1114 6th St
Modesto, CA 95354
Phone (209) 576-2845
1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437
637 Merced St
Newman, CA 95360
Phone (209) 862-0270
200 C St
Patterson, CA 95363
Phone (209) 892-6307
9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253
4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900
1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A100977 | CA | Yes |
Addresses
Primary practice location
1200 W Main St
Turlock, CA 95380-5107
Mailing address
737 W. Childs Ave.
Merced, CA 95341
Phone (209) 384-6493
Other providers in Turlock, CA
- Broniell Azof
- Anet Badal
- Bella Badal
- Zhouzet Badali
- Anjali Badesha
- Bhupinder Singh Bahia
- Daryl Bailie
- Karlen Bailie
- Manpreet Bains
- Vavanpreet Kaur Bains
All providers in Turlock, CA · Pediatrics Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.