Aspen Family Medical Group Of Modesto, Inc. | |
1130 Coffee Rd Ste 10 Modesto CA 95355-4228 | |
(209) 522-9054 | |
(209) 522-2631 |
Full Name | Aspen Family Medical Group Of Modesto, Inc. |
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Speciality | Family Medicine |
Location | 1130 Coffee Rd Ste 10, Modesto, California |
Authorized Official Name and Position | Mariela Gutierrez (CLINIC SUPERVISOR) |
Authorized Official Contact | 2095229054 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aspen Family Medical Group Of Modesto, Inc. 1130 Coffee Rd Ste 10 Modesto CA 95355-4228 Ph: (209) 522-9054 | Aspen Family Medical Group Of Modesto, Inc. 1130 Coffee Rd Ste 10 Modesto CA 95355-4228 Ph: (209) 522-9054 |
NPI Number | 1467533737 |
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Provider Enumeration Date | 10/17/2006 |
Last Update Date | 08/13/2024 |
Certification Date | 08/12/2024 |
Medicare PECOS PAC ID | 4183615248 |
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Medicare Enrollment ID | O20040519000541 |
Identifier | Type | State | Issuer |
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1467533737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Matthew Freitas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871535252 PECOS PAC ID: 8426037029 Enrollment ID: I20040716000960 |
Provider Name | Kent A Hufford |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487659272 PECOS PAC ID: 3577608579 Enrollment ID: I20100302000517 |
Provider Name | Shayna T Walker |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1760688295 PECOS PAC ID: 0446406714 Enrollment ID: I20130904000172 |
Provider Name | Fiel D Gamad |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114342805 PECOS PAC ID: 7012130396 Enrollment ID: I20140514002260 |
Provider Name | Maricelle Gamad |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619344348 PECOS PAC ID: 6103116371 Enrollment ID: I20160531000784 |
Provider Name | Gabriel Klapman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316280985 PECOS PAC ID: 4981918166 Enrollment ID: I20170206001368 |
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