NPIMap

Individual provider Active NPI

Edward Leonard Auen, PH.D., M.D.

  • Internal Medicine Physician
  • Modesto, CA
National Provider Identifier
1962464602
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A50019 Issued in CA
Practice address
1401 Spanos CT
Ste 122
Modesto, CA 95355-2810
Phone
(209) 529-2052
Fax
(209) 529-0323
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A50019 CA Primary

Addresses

Primary practice location

1401 Spanos CT
Ste 122
Modesto, CA 95355-2810

Mailing address

1401 Spanos CT
Ste 122
Modesto, CA 95355-2810
Phone (209) 529-2052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040708001175 CA Practitioner - Internal Medicine 9335127117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 Spanos CT
Suite 122
Modesto, CA 95355-2812
Phone (209) 614-2454

Hospital & facility affiliations

  • Noble Hospice & Home Health Care, Inc Home health agency, Pleasanton, CA, CCN 059307
  • Sutter Care at Home Home health agency, Salida, CA, CCN 057695
  • Lifeguard Home Health Home health agency, Pleasanton, CA, CCN 059055
  • Memorial Medical Center Hospital, Modesto, CA, CCN 050557
  • Adventist Health Sonora Hospital, Sonora, CA, CCN 050335
  • Oak Valley Hospital District Hospital, Oakdale, CA, CCN 050067
  • Doctors Medical Center Hospital, Modesto, CA, CCN 050464

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Sutter Valley Hospitals Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1962464602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SPANOS CT",
            "address_2": "STE 122",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552810",
            "telephone_number": "209-529-2052",
            "fax_number": "209-529-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SPANOS CT",
            "address_2": "STE 122",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552810",
            "telephone_number": "209-529-2052",
            "fax_number": "209-529-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUEN",
        "first_name": "EDWARD",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "PH.D., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.