| Isaac P Gaddam, NP | |
|
2516 E Whitmore Ave, Ceres, CA 95307-2645 | |
| (209) 538-1733 | |
| Not Available |
| Full Name | Isaac P Gaddam |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 2516 E Whitmore Ave, Ceres, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992960843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP13753 (California) | Primary |
| 208D00000X | General Practice | 13753 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Valley Medical Foundation | 9830094515 | 2473 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Isaac P Gaddam, NP 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 521-6097 | Isaac P Gaddam, NP 2516 E Whitmore Ave, Ceres, CA 95307-2645 Ph: (209) 538-1733 |
Kiranjeet Kaur Dhami, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3786 Old Oak Dr, Ceres, CA 95307 Phone: 209-613-0744 |
Romio Bhatia, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2760 3rd St, Ceres, CA 95307 Phone: 209-646-8321 |
Mrs. Rhonda Farrell Peacock, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3109 E Whitmore Ave, Ceres, CA 95307 Phone: 209-541-2929 |
Jennifer Marie Leavens Washburn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2519 E Whitmore Ave, Ceres, CA 95307 Phone: 209-537-4700 |
Mr. Patrick Kimani Wairiri, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1920 Memorial Dr, Ceres, CA 95307 Phone: 209-722-4842 |
Joanna Valenzuela-garay, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3109 E Whitmore Ave, Ceres, CA 95307 Phone: 209-722-4842 |
Ms. Elizabeth Catalina Weil, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2760 3rd St, Ceres, CA 95307 Phone: 209-556-5011 Fax: 209-556-5095 |