CENTRAL VALLEY PERFUSION, INC (NPI# 1356687735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356687735 |
| Entity Type | Organization |
| Organization Name | CENTRAL VALLEY PERFUSION, INC |
| Practice Address |
1441 Florida Ave Modesto CA 95350-4404 |
| Mailing Address |
1970 Fairway Oaks Dr Ripon CA 95366-9360 |
| Practice Telephone | 2095766313 |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2012-12-12 |
| Authorized Official Name | THOMAS FERRY (PERFUSIONIST) |
| Authorized Official Telephone | 4843689189 |
| Authorized Official Credential | CCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Street Address |
1441 FLORIDA AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326044876 | Suhail Rahhal | Internal Medicine | 1441 Florida Ave, Modesto, CA 95350-4404 | 2005-06-21 |
| 1629603667 | Avinesh Prakash | Nurse Practitioner | 1441 Florida Ave, Modesto, CA 95350-4404 | 2020-03-10 |
| 1437784469 | Jose L Bazan | Nurse Practitioner | 1441 Florida Ave, Modesto, CA 95350-4404 | 2020-03-10 |
| 1770117541 | Sydney Edwards | Physician Assistant | 1441 Florida Ave, Modesto, CA 95350-4418 | 2020-03-02 |
| 1003466756 | Jessica Izelle Whipkey | Pharmacy Technician | 1441 Florida Ave, Modesto, CA 95350-4418 | 2019-09-16 |
| 1538715040 | Antoinette Marie Nguyen | Registered Nurse | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-08-12 |
| 1588229637 | Janel Mark | Perfusionist | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-05-03 |
| 1437713799 | Kunal Panwar | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-04-23 |
| 1275196099 | Billy Huynh | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave, Modesto, CA 95350-4418 | 2019-04-17 |
| 1063075067 | Herbert Mao | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164768982 | O & D Surgical and Medical Solutions Inc. | General Acute Care Hospital | 140 East Grager Avenue, Suite B, Modesto, CA 95350-4347 | 2012-12-26 |
| 1891046892 | Doctors Medical Center | General Acute Care Hospital | 3032 Montgomery Ln, Modesto, CA 95355-7997 | 2012-10-01 |
| 1962710954 | Tammy Elkins, Phd | General Acute Care Hospital | 802 14th St Ste G, Modesto, CA 95354-1029 | 2010-09-23 |
| 1386775021 | Jacqueline Parker | General Acute Care Hospital | 405 Ramsey Dr, Modesto, CA 95356-1778 | 2007-03-07 |
| 1245368653 | A.whitebread Rnfa | General Acute Care Hospital | 1702 Sandalwood Dr, Modesto, CA 95350-3819 | 2007-02-28 |
| 1760532758 | Employee Assistance Program | General Acute Care Hospital | 1316 Celeste Dr, 220, Modesto, CA 95355-2434 | 2007-01-11 |
| 1437121886 | Stanislaus Surgical Hospital LLC | General Acute Care Hospital | 1421 Oakdale Rd, Modesto, CA 95355-3359 | 2006-02-01 |
| 1699129601 | Sutter Valley Hospitals | General Acute Care Hospital | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2016-04-15 |
| 1346621349 | Sutter Health | General Acute Care Hospital | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2015-06-16 |
| 1659712586 | Hospitalists of Modesto Medical Group | General Acute Care Hospital | 1441 Florida Ave, Hospitalists of Modesto Medical Group, Modesto, CA 95350-4404 | 2013-07-08 |
| 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.