| Stanislaus County Health Services Agency Paradise Medical Office | |
|
401 Paradise Rd Suite E Modesto CA 95351-3104 | |
| (209) 558-4000 | |
| Not Available |
| Full Name | Stanislaus County Health Services Agency Paradise Medical Office |
|---|---|
| Speciality | Clinic/Center |
| Location | 401 Paradise Rd, Modesto, California |
| Authorized Official Name and Position | Mary Ann Lee (MANAGING DIRECTOR) |
| Authorized Official Contact | 2095587163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanislaus County Health Services Agency Paradise Medical Office 401 Paradise Rd Suite E Modesto CA 95351-3104 Ph: (209) 558-4000 | Stanislaus County Health Services Agency Paradise Medical Office 401 Paradise Rd Suite E Modesto CA 95351-3104 Ph: (209) 558-4000 |
| NPI Number | 1396941464 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 03/17/2008 |
| Medicare PECOS PAC ID | 0648183996 |
|---|---|
| Medicare Enrollment ID | O20071016000366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396941464 | NPI | - | NPPES |
| EXE70074F | Other | CA | MEDICAL |
| FHC70074F | Other | MEDICAL | |
| HAP70074F | Other | CA | FAMILY PACT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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 |