TAJINDER SINGH BISLA (NPI# 1215905633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215905633 |
| Entity Type | Individual |
| Full Name | TAJINDER SINGH BISLA |
| Credential | MD |
| Practice Address |
4301 Northstar Way Modesto CA 95356-9262 |
| Mailing Address |
Po Box 576768 Modesto CA 95357-6768 |
| Practice Telephone | 2095771200 |
| Practice Fax Number | 2095776517 |
| Mailing Telephone | 2095771200 |
| Mailing Fax Number | 2095776517 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2019-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
A062287 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
A62287 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD00040009 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | A062287 | 05 | |
| WA | LABOR & INDUSTRIES | 203960 | 01 |
| WA | 8433278 | 05 |
| Street Address |
4301 NORTHSTAR WAY |
| City | MODESTO |
| State | CA |
| Zip Code | 95356-9262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1912140302 | Michelle Lynae Iverson | Pathology | 4301 Northstar Way, Modesto, CA 95356-1365 | 2009-04-14 |
| 1659534535 | Melissa Marie Rodgers | Pathology | 4301 Northstar Way, Modesto, CA 95356 | 2008-07-09 |
| 1972786382 | Olga Liliana Bohn | Pathology | 4301 Northstar Way, Modesto, CA 95356-9262 | 2007-12-07 |
| 1659593606 | Anthony Rex Victorio | Pathology | 4301 Northstar Way, Modesto, CA 95356-9262 | 2007-05-02 |
| 1376660498 | Yingchuan Hu | Pathology | 4301 Northstar Way, Modesto, CA 95356 | 2007-03-23 |
| 1831158880 | Teresa I Limjoco | Pathology | 4301 Northstar Way, Modesto, CA 95356-9262 | 2006-03-20 |
| 1982663837 | Steven P Fogel | Pathology | 4301 Northstar Way, Modesto, CA 95356-9262 | 2006-03-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
| 1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
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| 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 |
|---|---|---|---|---|
| 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 |
| 1306008412 | Jonathan Chow | Pathology | 4301 N Star Way, Modesto, CA 95356-9262 | 2008-06-30 |
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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.