JOHN BLACK VIII (NPI# 1417014176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417014176 |
| Entity Type | Individual |
| Full Name | JOHN BLACK VIII |
| Practice Address |
1601 Yosemite Blvd Suite A Modesto CA 95354-2800 |
| Mailing Address |
5336 Avenue D Modesto CA 95358-9445 |
| Practice Telephone | 2093411824 |
| Practice Fax Number | 2095231296 |
| Mailing Telephone | 2095371516 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326321100 | John Black | Counselor | 2101 N Page Ave, Oklahoma City, OK 73111-1853 | 2011-09-27 |
| 1033492103 | John Joseph Black Jr. | Pharmacist | 5403 Northbend Rd, Cincinnati, OH 45247-7620 | 2011-09-24 |
| 1013221738 | John Walton Black | Durable Medical Equipment & Medical Supplies | 932 Pearl St, Bowling Green, OH 43402-2613 | 2010-08-05 |
| 1720221435 | John R. Black | Psychologist | 102 Spellman St, Mount Horeb, WI 53572 | 2009-04-10 |
| 1801925607 | John R. Black | Dentist | 4347 Rice St Ste 202, Lihue, HI 96766-1335 | 2007-03-05 |
| 1437236569 | John J Black | Dentist | 475 Trade Sq W, Troy, OH 45373-2461 | 2006-11-01 |
| 1609984376 | John Black | Psychiatry & Neurology | V. B. Harrison Student Health, Rebel Drive, University, MS 38677 | 2006-08-25 |
| 1225079825 | John Larry Black | Emergency Medicine | 4364 Hwy 51 South, Senatobia, MS 38668-2534 | 2006-06-08 |
| 1609872282 | John Alexander Black | Radiology | 1025 Medical Center Dr, Delaney Radiologists Group, Pllc, Wilmington, NC 28401 | 2005-06-28 |
| 1497375570 | John Michael Black | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | 2020-04-20 |
| Street Address |
1601 YOSEMITE BLVD SUITE A |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932266517 | Callie C Graham | Specialist | 1601 Yosemite Blvd, Suite A, Modesto, CA 95354-2800 | 2007-01-02 |
| 1417106030 | Robi-ann Doyle | Social Worker | 1601 Yosemite Blvd, Suite B, Modesto, CA 95354-2800 | 2008-09-18 |
| 1669658407 | Gabriela Farias | Counselor | 1601 Yosemite Blvd, A, Modesto, CA 95354-2800 | 2008-01-10 |
| 1821274663 | Sharee Gray | Counselor | 1601 Yosemite Blvd, A, Modesto, CA 95354-2800 | 2008-01-10 |
| 1669655585 | Jeannette V Amador | Counselor | 1601 Yosemite Blvd, Suite A, Modesto, CA 95354-2800 | 2007-12-13 |
| 1821271404 | Joseph S Musa | Counselor | 1601 Yosemite Blvd, Suite A, Modesto, CA 95354-2800 | 2007-12-06 |
| 1235310061 | Susan Elizabeth Kelly | Specialist | 1601 Yosemite Blvd, Suite A, Modesto, CA 95354-2800 | 2007-11-20 |
| 1154501310 | Cynthia Josephine Favela | Specialist | 1601 Yosemite Blvd, Suite A, Modesto, CA 95354-2800 | 2007-11-05 |
| 1366621591 | Julie Denise Collins | Counselor | 1601 Yosemite Blvd, Suite A, Modesto, CA 95354-2800 | 2007-10-24 |
| 1346438488 | Gary W Pitchlynn | Specialist | 1601 Yosemite Blvd, Suite A, Modesto, CA 95354-2800 | 2007-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| Find all providers in zip 95354 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881045763 | Maria Ortiz | Specialist | 1801 Tully Rd Ste A2, Modesto, CA 95350-2937 | 2016-06-22 |
| 1184081614 | James Mccray | Specialist | 1620 N Carpenter Rd Ste D59, Modesto, CA 95351-1148 | 2016-01-28 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1497088173 | Heather Lee King | Specialist | 325 Downey Ave, Modesto, CA 95354-1203 | 2009-09-11 |
| 1073783353 | David Bautista | Specialist | 500 9th St, Modesto, CA 95354-3428 | 2008-03-03 |
| 1770622375 | Kathleen Marie Dubose | Specialist | 1901 Standiford Ave, Suite A, Modesto, CA 95350-0149 | 2007-02-06 |
| 1932266517 | Callie C Graham | Specialist | 1601 Yosemite Blvd, Suite A, Modesto, CA 95354-2800 | 2007-01-02 |
| 1295896041 | Theodore Edmund Staahl | Specialist | 1329 Spanos Ct Ste A-1, Modesto, CA 95355-2806 | 2006-12-13 |
| 1831272657 | John Leicham | Specialist | 200 Greenwich Ln, Modesto, CA 95350-1461 | 2006-10-23 |
| 1144310657 | Valley Hand Center | Specialist | 200 W Roseburg Ave, Ste B-1, Modesto, CA 95350-5200 | 2006-10-13 |
| 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.