PAULA GARDNER


Address: 1800 Tully Rd, Modesto, CA 95350-2946
Phone: 2092775695

PAULA GARDNER (NPI# 1437433893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437433893
Entity Type Individual
Full Name PAULA GARDNER
Practice Address 1800 Tully Rd
Modesto
CA 95350-2946
Mailing Address 1708 Vintage Cir
Oakdale
CA 95361-8662
Practice Telephone 2092775695
Enumeration Date 2011-10-04
Last Update Date 2011-10-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program CA Student, Health Care

Other Providers PAULA GARDNER

NPI Name Taxonomy Address Enumeration
1114179280 Paula M Gardner Occupational Therapist 274 Hayes Rd, Schuylerville, NY 12871-1840 2008-10-21
1548468283 Paula Gail Gardner Occupational Therapist 13800 Burnished Wood Ct, Upper Marlboro, MD 20774-4213 2007-07-03
1952391534 Paula Michelle Gardner Psychologist 3209 W. Smith Valley Rd., #231, Greenwood, IN 46142-8511 2005-10-25
1699917567 Paula Skye Gardner Physician Assistant 940 Central Park Dr., Ste 210, Steamboat Springs, CO 80487 2009-03-24
1952411043 Paula Renee Gardner Dentist 1456 Professional Dr, Ste 401, Petaluma, CA 94954-6639 2006-08-30

Office Location

Street Address 1800 TULLY RD
City MODESTO
State CA
Zip Code 95350-2946

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336145242 Craig Lee Sharp IIi Chiropractor 1800 Tully Rd, Ste D, Modesto, CA 95350-2923 2005-06-24
1730509241 Lakhvir Kaur Case Manager/Care Coordinator 1800 Tully Rd, Suite A2, Modesto, CA 95350-2946 2014-04-23
1396176194 Daisy Moreno Case Manager/Care Coordinator 1800 Tully Rd, Suite A-2, Modesto, CA 95350-2946 2013-12-03
1013258276 Hagar Jannane Cardenas Case Manager/Care Coordinator 1800 Tully Rd, Suite A2, Modesto, CA 95350-2946 2013-03-12
1255675906 Jaqueline Tafolla Aguilar Case Manager/Care Coordinator 1800 Tully Rd, Suite A2, Modesto, CA 95350-2946 2012-11-19
1497007652 Vintrica Victoria Grant Counselor 1800 Tully Rd, Suite F, Modesto, CA 95350-2946 2012-10-11
1437409760 Tonya Renee Laster Marriage & Family Therapist 1800 Tully Rd, Suite A-2, Modesto, CA 95350-2946 2012-09-13
1528326196 Carmen Gray Student in an Organized Health Care Education/Training Program 1800 Tully Rd, Suite A-2, Modesto, CA 95350-2946 2012-05-02
1588922140 Donald Amos Lilley Contractor 1800 Tully Rd, Suite F, Modesto, CA 95350-2946 2012-05-01
1801171798 Maya Taylor Case Manager/Care Coordinator 1800 Tully Rd, Suite F, Modesto, CA 95350-2946 2011-10-11
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972168219 Kourosh Mehrazar Student in an Organized Health Care Education/Training Program 1405 Villette Ct, Modesto, CA 95356-8904 2019-05-02
1609439793 Sylvia Margarita Castro Student in an Organized Health Care Education/Training Program 1441 Florida Ave # 102, Modesto, CA 95350-4404 2019-04-15
1427518422 Maham Rehman Student in an Organized Health Care Education/Training Program 2301 Powell Dr Apt 3, Modesto, CA 95350-1875 2019-03-25
1609334929 Yaira Denis Aguilar Student in an Organized Health Care Education/Training Program 2000 W Briggsmore Ave # Stii, Modesto, CA 95350-3839 2019-03-05
1346727922 Jorge Anguiano Student in an Organized Health Care Education/Training Program 821 Crippen Ave, Modesto, CA 95351-7700 2018-07-26
1740796648 Paloma Angelica Parra Student in an Organized Health Care Education/Training Program 1400 K St Ste I, Modesto, CA 95354-1018 2017-12-15
1669987301 Tristan Renee Bowman Student in an Organized Health Care Education/Training Program 1700 Mchenry Way, Modesto, CA 95354 2017-12-04
1326575002 Rim Amare Gebremariam Student in an Organized Health Care Education/Training Program 1400 Florida Ave Ste 200, Modesto, CA 95350-4445 2017-05-12
1023557543 Jasmine Dominique Brooks Student in an Organized Health Care Education/Training Program 2521 Pescadero Pl, Modesto, CA 95355-3439 2017-02-16
1225408412 Raman Benjamin Student in an Organized Health Care Education/Training Program 2800 Wind River Ct, Modesto, CA 95356-9383 2015-09-30
Find all providers in MODESTO

Competitor

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City MODESTO
Zip Code 95350

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Dataset Information

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.

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