FRED ADAMS M.D. INC (NPI# 1447597596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447597596 |
Entity Type | Organization |
Organization Name | FRED ADAMS M.D. INC |
Practice Address |
1400 Florida Ave Suite 205 A Modesto CA 95350-4422 |
Mailing Address |
1400 Florida Ave Ste 205a Modesto CA 95350-4445 |
Practice Telephone | 2095755844 |
Practice Fax Number | 2095755846 |
Mailing Telephone | 2095755844 |
Mailing Fax Number | 2095755846 |
Enumeration Date | 2013-01-09 |
Last Update Date | 2013-01-09 |
Authorized Official Name | DR. FRED ADAMS (M.D. PRESIDENT) |
Authorized Official Telephone | 2095755844 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305R00000X | Preferred Provider Organization | A320550 | CA | Managed Care Organizations |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00A320550 | 05 |
Street Address |
1400 FLORIDA AVE SUITE 205 A |
City | MODESTO |
State | CA |
Zip Code | 95350-4422 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679539415 | Mark T Fahlen | Internal Medicine | 1400 Florida Ave, Suite 109, Modesto, CA 95350-4422 | 2006-04-21 |
1366079337 | Adrienne Hong | Student in an Organized Health Care Education/Training Program | 1400 Florida Ave, Modesto, CA 95350-4422 | 2020-03-26 |
1801459425 | Beenish Viqar | Family Medicine | 1400 Florida Ave, Modesto, CA 95350-4422 | 2019-04-18 |
1841753605 | Shreya Khatri | Student in an Organized Health Care Education/Training Program | 1400 Florida Ave, Modesto, CA 95350-4422 | 2019-04-09 |
1477058451 | Shannon Renee Dorton | Student in an Organized Health Care Education/Training Program | 1400 Florida Ave, Modesto, CA 95350-4422 | 2018-03-29 |
1447786587 | Tana Seneewong | Family Medicine | 1400 Florida Ave, Modesto, CA 95350-4422 | 2017-05-10 |
1225561798 | Aiwen Liu | Student in an Organized Health Care Education/Training Program | 1400 Florida Ave, Ste 200, Modesto, CA 95350-4422 | 2017-04-11 |
1568995553 | Robert Bullock | Student in an Organized Health Care Education/Training Program | 1400 Florida Ave, Suite 200, Modesto, CA 95350-4422 | 2017-04-06 |
1093248296 | Josephine Francine Corona | Student in an Organized Health Care Education/Training Program | 1400 Florida Ave, Suite 200, Modesto, CA 95350-4422 | 2017-04-05 |
1568906691 | John Coury | Student in an Organized Health Care Education/Training Program | 1400 Florida Ave, Ste. 200, Modesto, CA 95350-4422 | 2016-12-08 |
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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 | 305R00000X |
Grouping | Managed Care Organizations |
Classification | Preferred Provider Organization |
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
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1245723071 | Pacific Associates Medical Group, Inc. | Preferred Provider Organization | 9900 Lakewood Blvd Ste 103, Downey, CA 90240-4039 | 2018-06-06 |
1821585266 | Anthony Nguyen Dds Inc | Preferred Provider Organization | 1125 E 17th St Ste N156, Santa Ana, CA 92701-2215 | 2018-04-20 |
1275038051 | Ryan Lange D.m.d. Inc. | Preferred Provider Organization | 17897 Macarthur Blvd Ste 100, Irvine, CA 92614-0532 | 2018-03-26 |
1649798190 | Freedom Physicians Corporation | Preferred Provider Organization | 2295 Huntington Dr., Ste. D, San Marino, CA 91108 | 2017-09-05 |
1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
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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.