NPIMap

Organization Active NPI

First Choice Physician Partners

  • Pediatrics Physician
  • Manteca, CA
National Provider Identifier
1962833319
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
FIRST CHOICE PHYSICIAN PARTNERS
Practice address
1079 Eucalyptus St
Suite #a
Manteca, CA 95337-4317
Phone
(209) 239-6008
Fax
(209) 239-3408
NPI assigned
Dec 11, 2013
Organization subpart
Yes
Parent organization
FIRST CHOICE PHYSICIAN PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Mr. Jeff Kourey
Title
Ceo
Phone
(714) 428-6842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1079 Eucalyptus St
Suite #a
Manteca, CA 95337-4317

Mailing address

1079 Eucalyptus St
Suite #a
Manteca, CA 95337-4317
Phone (209) 239-6008

Other names 1

  • Greater Modesto Medical Surgical Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
First Choice Phys Partners17 organizations share this tax ID, including this one
Part of
First Choice Phys Partners

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1962833319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 EUCALYPTUS ST",
            "address_2": "SUITE #A",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953374317",
            "telephone_number": "209-239-6008",
            "fax_number": "209-239-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 EUCALYPTUS ST",
            "address_2": "SUITE #A",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953374317",
            "telephone_number": "209-239-6008",
            "fax_number": "209-239-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE PHYSICIAN PARTNERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST CHOICE PHYSICIAN PARTNERS",
        "enumeration_date": "2013-12-11",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "KOUREY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-428-6842",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Modesto Medical Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.