Tremayne Shankar and Kennedy-Funtila a Professional Med

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TREMAYNE SHANKAR AND KENNEDY-FUNTILA A PROFESSIONAL MED

Doing business as

Sunrise Center for Medicine

Practice address

1600 Sunrise Ave
Suite 16
Modesto, CA 95350-4679

Phone

(209) 629-6468

Fax

(209) 578-1088

NPI assigned

Oct 13, 2010

Organization subpart

No

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

Authorized official

Name

Jon Tremayne

Title

Administrator

Phone

(209) 629-6468

Specialties & licenses 1

Addresses

Other names 1

• Sunrise Center for Medicine Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prithvi Nambalat Shankar, MD

  • Internal Medicine Physician
  • Modesto, CA
  • NPI 1790772838
  NPD (past)

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1972813848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SUNRISE AVE",
            "address_2": "SUITE 16",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504679",
            "telephone_number": "209-629-6468",
            "fax_number": "209-578-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SUNRISE AVE",
            "address_2": "SUITE 16",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504679",
            "telephone_number": "209-629-6468",
            "fax_number": "209-578-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREMAYNE SHANKAR AND KENNEDY-FUNTILA A PROFESSIONAL MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "TREMAYNE",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "209-629-6468"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Center for Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Transistor Hearing Aid Co.
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• Kylie Rae Travers
• Dillon Travis
• Parker Trefz, OT
• Paula S. Tremayne, D.O.
• Corey Tremblay, PA-C
• Wesley Matthew Tresenriter, PT
• Rocio Trevino Rodriguez
• Matina Trigo, LMFT

• Internal Medicine Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.