| Orangeburg Medical Group | |
|
1448 Florida Ave Modesto CA 95350-4424 | |
| (209) 343-8126 | |
| (209) 523-2566 |
| Full Name | Orangeburg Medical Group |
|---|---|
| Speciality | Surgery |
| Location | 1448 Florida Ave, Modesto, California |
| Authorized Official Name and Position | Arthur Lee Hill (ADMINISTRATOR) |
| Authorized Official Contact | 2063438126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orangeburg Medical Group 1448 Florida Ave Modesto CA 95350-4424 Ph: (209) 343-8126 | Orangeburg Medical Group 1448 Florida Ave Modesto CA 95350-4424 Ph: (209) 343-8126 |
| NPI Number | 1467595389 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5395815286 |
|---|---|
| Medicare Enrollment ID | O20080604000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467595389 | NPI | - | NPPES |
| GR0021000 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
| Provider Name | Russell T Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174545362 PECOS PAC ID: 9739083452 Enrollment ID: I20031124000802 |
| Provider Name | Christina Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710074000 PECOS PAC ID: 5092885988 Enrollment ID: I20080604000322 |
| Provider Name | Alex E Mari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609976562 PECOS PAC ID: 0547330433 Enrollment ID: I20080604000354 |
| Provider Name | Jose L Banuelos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427158351 PECOS PAC ID: 5991875882 Enrollment ID: I20080604000374 |
| Provider Name | Miguel A Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376643213 PECOS PAC ID: 3173693066 Enrollment ID: I20080616000450 |
| Provider Name | Manmeet S Shergill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184818031 PECOS PAC ID: 4284796756 Enrollment ID: I20081217000180 |
| Provider Name | Alina Haider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982264230 PECOS PAC ID: 5294117644 Enrollment ID: I20220801002647 |
Tushar R. Modi, M.d. Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 413 E Orangeburg Ave Ste A, Modesto, CA 95350 Phone: 209-529-9600 Fax: 209-544-2620 | |
Golden Valley Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1510 Florida Ave, Suite B, Modesto, CA 95350 Phone: 209-549-7090 Fax: 209-549-7099 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1114 6th St, Modesto, CA 95354 Phone: 209-576-2845 Fax: 209-384-3966 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Hammond St, Modesto, CA 95351 Phone: 209-576-4437 Fax: 209-384-3966 | |
Greater Modesto Medical Surgical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3125 Conant Ave, Modesto, CA 95350 Phone: 209-214-7053 Fax: 209-523-0764 | |
Gettysburg Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Coffee Rd, Building 10, Modesto, CA 95355 Phone: 209-725-2060 Fax: 209-725-2072 | |
Keith Leibowitz M.d. A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Park Ave, Modesto, CA 95354 Phone: 757-645-7079 |