| Jonathan Kistler, MD | |
|
1001 Needham St, Modesto, CA 95354-0730 | |
| (209) 569-0373 | |
| (209) 529-8519 |
| Full Name | Jonathan Kistler |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1001 Needham St, Modesto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033161740 | NPI | - | NPPES |
| A73938 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A73938 (California) | Primary |
| Entity Name | County Of Stanislaus |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154524445 PECOS PAC ID: 0648183996 Enrollment ID: O20031111000935 |
| Entity Name | County Of Stanislaus |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831394998 PECOS PAC ID: 0648183996 Enrollment ID: O20031111000939 |
| Entity Name | Traditions Psychiatry Group, P.c |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083802979 PECOS PAC ID: 8729984539 Enrollment ID: O20031211000677 |
| Entity Name | County Of Stanislaus |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023681301 PECOS PAC ID: 0648183996 Enrollment ID: O20041108000570 |
| Entity Name | Community Research Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952328700 PECOS PAC ID: 6800825332 Enrollment ID: O20050804001256 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Kistler, MD 1001 Needham St, Modesto, CA 95354-0730 Ph: (209) 569-0373 | Jonathan Kistler, MD 1001 Needham St, Modesto, CA 95354-0730 Ph: (209) 569-0373 |
Tonya F. Fuller, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4785 | |
Kairav Rameshchandra Shah, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1524 Mchenry Ave Ste 445, Modesto, CA 95350 Phone: 209-571-1693 | |
Dr. Jaaneali Mehdi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1501 Claus Rd Ste F, Modesto, CA 95355 Phone: 095-576-3102 | |
Vinita Wadhwani, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1400 Celeste Drive, Crestwood Mannor, Modesto, CA 95355 Phone: 916-422-5856 Fax: 916-422-2307 | |
Nusrat Malik, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1501 Claus Rd, Dbhc, Modesto, CA 95355 Phone: 209-557-6300 | |
Antoun C. Manganas, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1501 Claus Rd, Modesto, CA 95355 Phone: 209-524-9401 |