SHARON BASALDUA1 (NPI# 1245363464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245363464 |
| Entity Type | Individual |
| Full Name | SHARON BASALDUA1 |
| Practice Address |
813 Moon Lane Modesto CA 95351 |
| Practice Telephone | 2095583608 |
| Practice Fax Number | 2095581075 |
| Mailing Telephone | 2095583608 |
| Mailing Fax Number | 2095581075 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
813 MOON LANE |
| City | MODESTO |
| State | CA |
| Zip Code | 95351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392487 | Western Dental Services, Inc. | Dentist | 1524 Richland Ave, Ceres, CA 95351 | 2017-12-18 |
| 1881039873 | Sabrina Arora-thissen | Family Medicine | 401 Paradise Rd. Ste, Modesto, CA 95351 | 2013-05-03 |
| 1407163561 | Maliza Cahee Oliver | Dentist | 1404 Mitchell Rd, Modesto, CA 95351 | 2010-09-09 |
| 1124345616 | Jason Lee Paul Wayrynen | Social Worker | 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 | 2010-04-23 |
| 1841469640 | Edgar Hse-hwa Han | Physical Medicine & Rehabilitation | 1521 N. Carpenter Road, Suite D-1, Modesto, CA 95351 | 2008-02-26 |
| 1326259326 | Karen Ann Peterson | Nurse Practitioner | 1340 Mitchell Rd, Modesto, CA 95351 | 2007-05-24 |
| 1013139054 | Bounchanh Trysavath | Physician Assistant | 300 I St, Modesto, CA 95351 | 2007-05-02 |
| 1710046834 | Phil Chen | Dentist | 1460 Mitchell Road, Suite B, Modesto, CA 95351 | 2006-12-06 |
| 1649366055 | Victor Y. Chen | Family Medicine | 401 Paradise Road, Suite E, Modesto, CA 95351 | 2006-10-04 |
| 1487679296 | Ronald M Megee | Chiropractor | 2507 East Hatch Rd., Suite B, Modesto, CA 95351 | 2006-07-13 |
| Find all providers in zip 95351 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043845357 | Anthony Rodriguez Contreras | Counselor | 2360 Scenic Dr, Modesto, CA 95355-4505 | 2020-03-06 |
| 1821567645 | Aricka Ream | Counselor | 1704 Groveton Way, Modesto, CA 95355-1904 | 2018-11-21 |
| 1831668466 | Palepa Iulio | Counselor | 3005 Cannon Way Apt A, Modesto, CA 95354-2155 | 2018-11-13 |
| 1104364801 | Catherine Mae Linville | Counselor | 1030 15th St, Modesto, CA 95354-1102 | 2017-02-02 |
| 1417492182 | Chaqulia Anita Ramirez | Counselor | 2020 Standiford Ave # Suitef3, Modesto, CA 95350-6529 | 2017-01-04 |
| 1588061337 | Ashley Boyd | Counselor | 1336 Stonum Rd, Modesto, CA 95351-5121 | 2014-11-21 |
| 1720482136 | Shari Johnson | Counselor | 1517 Panthers Ln, Modesto, CA 95355-9303 | 2014-10-14 |
| 1407126469 | Tommy Phoukhaothong Panyanouvong | Counselor | 1300 Payne Ave, Modesto, CA 95351-4821 | 2012-01-09 |
| 1740579424 | Milissa Ann Catherine-plett | Counselor | 108 Bonita Cir, Modesto, CA 95354-1410 | 2011-04-01 |
| 1205144318 | Brianna Decoteau | Counselor | 916 Mchenry, Modesto, CA 95350 | 2010-09-23 |
| 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.