DR. JANEEN NOELLE BUONACCORSI (NPI# 1174765721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174765721 |
| Entity Type | Individual |
| Full Name | DR. JANEEN NOELLE BUONACCORSI |
| Other Name | DR. J. NOELLE BUONACCORSI |
| Credential | M.D. |
| Practice Address |
2625 Coffee Rd Suite S Modesto CA 95355-2050 |
| Practice Telephone | 2095771200 |
| Mailing Telephone | 2095771200 |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2014-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
A130023 | CA | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
56826 | MN | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
106815 | MN | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
A130023 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2625 COFFEE RD SUITE S |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-2050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760985 | Yosemite Pathology Medical Group, Inc | Pathology | 2625 Coffee Rd, Ste S, Modesto, CA 95355-2050 | 2005-06-14 |
| 1245699396 | Eva Glover | Spec/Tech, Pathology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2016-02-17 |
| 1508249764 | Ermias Gebregziabher | Spec/Tech, Pathology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2015-07-07 |
| 1942694047 | John Mbeo | Spec/Tech, Pathology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2015-03-26 |
| 1386050177 | Amanda Sorrell | Spec/Tech, Pathology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2014-07-01 |
| 1669743159 | Ashley N Schulke | Spec/Tech, Pathology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2012-01-16 |
| 1730473794 | John List | Spec/Tech, Pathology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2011-06-07 |
| 1245520600 | Weisheng Xu | Pathology | 2625 Coffee Rd, Modesto, CA 95355-2050 | 2011-04-19 |
| 1427375625 | Kali Freeman | Specialist | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2010-04-27 |
| 1346571593 | Quoc Pham | Spec/Tech, Pathology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2010-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215905633 | Tajinder Singh Bisla | Pathology | 4301 Northstar Way, Modesto, CA 95356-9262 | 2006-03-10 |
| 1982087110 | Kuixing Zhang | Pathology | 4301 Northstar Way, Modesto, CA 95356-9262 | 2015-07-07 |
| 1124448824 | Sophia Ma | Pathology | 4301 Northstar Way, Modesto, CA 95356 | 2014-04-21 |
| 1033403647 | Christine Lori Rongey | Pathology | 4301 Northstar Way, Modesto, CA 95356-9262 | 2011-06-01 |
| 1245520600 | Weisheng Xu | Pathology | 2625 Coffee Rd, Modesto, CA 95355-2050 | 2011-04-19 |
| 1487958815 | Alireza Torabi | Pathology | 4301 N Star Way, Modesto, CA 95356-9262 | 2010-12-28 |
| 1598079717 | Rana Tawil | Pathology | 4301 N Star Way, Modesto, CA 95356-9262 | 2010-07-29 |
| 1861704058 | Richard Danialan | Pathology | 4301 N Star Way, Modesto, CA 95356-9262 | 2010-07-05 |
| 1225264724 | Xiangrong Zhao | Pathology | 4301 N Star Way, Modesto, CA 95356-9262 | 2009-06-10 |
| 1659534535 | Melissa Marie Rodgers | Pathology | 4301 Northstar Way, Modesto, CA 95356 | 2008-07-09 |
| Find all providers in MODESTO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.