JOHN TALIEH MEDICAL CORPORATION (NPI# 1578594206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578594206 |
| Entity Type | Organization |
| Organization Name | JOHN TALIEH MEDICAL CORPORATION |
| Practice Address |
1401 Spanos Ct Suite 203 Modesto CA 95355-2810 |
| Mailing Address |
Po Box 577134 Modesto CA 95357-7134 |
| Practice Telephone | 2095220600 |
| Practice Fax Number | 2094910116 |
| Mailing Telephone | 2095220600 |
| Mailing Fax Number | 2094910116 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. YAHYA JOHN TALIEH (PRESIDENT) |
| Authorized Official Telephone | 2095220600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A73331 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A733310 | 05 |
| Street Address |
1401 SPANOS CT SUITE 203 |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124020102 | H Rand Tolboe | Podiatrist | 1401 Spanos Ct, Suite 104, Modesto, CA 95355-2810 | 2005-08-10 |
| 1205372281 | Rochelle Thangalan | Nurse Practitioner | 1401 Spanos Ct, Suite 130, Modesto, CA 95355-2810 | 2017-01-13 |
| 1831634708 | Jennifer Amponsah Dion-gokan | Registered Nurse | 1401 Spanos Ct, Suite 130, Modesto, CA 95355-2810 | 2016-12-30 |
| 1184047813 | H. Rand Tolboe, D.p.m. | Podiatrist | 1401 Spanos Ct, Suite 104, Modesto, CA 95355-2810 | 2014-01-31 |
| 1629317326 | Healthnhealing Inc | Specialist | 1401 Spanos Ct, Suite 108, Modesto, CA 95355-2810 | 2013-01-31 |
| 1033471867 | Central Valley Radiation Oncology | Clinic/Center | 1401 Spanos Ct, Modesto, CA 95355-2810 | 2012-06-07 |
| 1164734489 | Mutahir Ubaid Khan | Internal Medicine | 1401 Spanos Ct, Suite 230, Modesto, CA 95355-2810 | 2010-07-02 |
| 1467772228 | Duggal Medical Corp | Family Medicine | 1401 Spanos Ct, Suite #205, Modesto, CA 95355-2810 | 2010-06-03 |
| 1750517231 | Amrith Jamoona | Neurological Surgery | 1401 Spanos Ct, Suite 130, Modesto, CA 95355-2810 | 2009-06-10 |
| 1083876551 | Regina Marie Singh | Clinical Nurse Specialist | 1401 Spanos Ct, Suite 103, Modesto, CA 95355-2810 | 2008-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| 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.