| Dr Jocelyn Impas Espiritu, MD | |
|
1441 Florida Ave, Modesto, CA 95350-4405 | |
| (209) 576-3735 | |
| (209) 342-3007 |
| Full Name | Dr Jocelyn Impas Espiritu |
|---|---|
| Gender | Female |
| Speciality | Nuclear Medicine |
| Experience | 41 Years |
| Location | 1441 Florida Ave, Modesto, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104818137 | NPI | - | NPPES |
| 00A645330 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207UN0902X | Nuclear Medicine - Nuclear Imaging & Therapy | A64533 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Foundation Hospital And Rehab Center | Vallejo, CA | Hospital |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 10928 |
| Sutter Valley Medical Foundation | 9830094515 | 2473 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Modesto Radiological Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992747547 PECOS PAC ID: 2062300239 Enrollment ID: O20040513000453 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1457593980 PECOS PAC ID: 9830094515 Enrollment ID: O20090916000833 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1972877264 PECOS PAC ID: 9830094515 Enrollment ID: O20130222000306 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1467825844 PECOS PAC ID: 9830094515 Enrollment ID: O20160223001845 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1346615150 PECOS PAC ID: 9830094515 Enrollment ID: O20160311000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jocelyn Impas Espiritu, MD 1441 Florida Ave, Modesto, CA 95350-4405 Ph: (209) 576-3735 | Dr Jocelyn Impas Espiritu, MD 1441 Florida Ave, Modesto, CA 95350-4405 Ph: (209) 576-3735 |