Organization Active NPI

Steven R Wunschel MD Inc

  • Urology Physician
  • Modesto, CA
National Provider Identifier
1992958383
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A53236 Issued in CA
Legal business name
STEVEN R WUNSCHEL MD INC
Practice address
500 Coffee Road
C
Modesto, CA 95355
Phone
(209) 238-0369
Fax
(209) 238-9664
NPI assigned
Oct 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Steven R Wunschel, M.D
Title
President
Phone
(209) 529-9603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X A53236 CA Primary

Addresses

Primary practice location

500 Coffee Road
C
Modesto, CA 95355

Mailing address

817 Coffee Road
C3
Modesto, CA 95355
Phone (209) 529-9603

Other identifiers 1

IdentifierTypeStateIssuer
00A532360MedicaidCA

National Provider Directory

National Provider Directory

Locations

500 Coffee Rd
Ste C
Modesto, CA 95355
Phone (209) 238-0369

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1992958383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 COFFEE ROAD",
            "address_2": "C3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-529-9603",
            "fax_number": "209-529-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COFFEE ROAD",
            "address_2": "C",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-238-0369",
            "fax_number": "209-238-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN R WUNSCHEL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "WUNSCHEL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-529-9603",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A53236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A532360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.