KELLY MARIE CARDOZA (NPI# 1598270050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598270050 |
| Entity Type | Individual |
| Full Name | KELLY MARIE CARDOZA |
| Credential | PHN |
| Practice Address |
820 Scenic Dr Modesto CA 95350-6131 |
| Practice Telephone | 2095585620 |
| Practice Fax Number | 2095584813 |
| Mailing Telephone | 2095585620 |
| Mailing Fax Number | 2095584318 |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
553828 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306312954 | Kelly Cardoza | Licensed Vocational Nurse | 7710 W Interstate 10, San Antonio, TX 78230-4711 | 2018-10-22 |
| Street Address |
820 SCENIC DR |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-6131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285714386 | John Allan Walker | Internal Medicine | 820 Scenic Dr, Modesto, CA 95350-6131 | 2006-10-16 |
| 1134653199 | Payeng Moua | Registered Nurse | 820 Scenic Dr, Modesto, CA 95350-6131 | 2017-04-17 |
| 1427582485 | Denise Rodenburg | Registered Nurse | 820 Scenic Dr, Modesto, CA 95350-6131 | 2017-04-17 |
| 1245777978 | Christine Briggs | Registered Nurse | 820 Scenic Dr, Modesto, CA 95350-6131 | 2017-01-19 |
| 1629514302 | Denise Sanford | Registered Nurse | 820 Scenic Dr, Modesto, CA 95350-6131 | 2017-01-18 |
| 1720524408 | Ricardo Garcia | Registered Nurse | 820 Scenic Dr, Modesto, CA 95350-6131 | 2017-01-18 |
| 1467875021 | Lara Laird | Registered Nurse | 820 Scenic Dr, Modesto, CA 95350-6131 | 2014-01-31 |
| 1275956294 | Laura Gregory | Registered Nurse | 820 Scenic Dr, Modesto, CA 95350-6131 | 2014-01-27 |
| 1588086342 | Dee Anna Arata | Registered Nurse | 820 Scenic Dr, Modesto, CA 95350 | 2014-01-14 |
| 1639492317 | County of Stanislaus | Clinical Medical Laboratory | 820 Scenic Dr, Modesto, CA 95350-6131 | 2010-03-09 |
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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 | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
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| 1275130759 | Johanna Solorzano | Registered Nurse | 233 Bennington St, San Francisco, CA 94110-5513 | 2020-10-07 |
| 1083211080 | Amy Elizabeth Smith | Registered Nurse | 783 Augusta Dr, Moraga, CA 94556-1007 | 2020-10-03 |
| 1164039012 | Alese Marie Hernandez | Registered Nurse | 24239 Park St, Torrance, CA 90505-6554 | 2020-09-24 |
| 1124632138 | Sarah Anne Boyce | Registered Nurse | 82 N Greenwood Ave, Pasadena, CA 91107-3514 | 2020-09-08 |
| 1750994372 | Rosalyn Lee | Registered Nurse | 410 Crother Rd, Meadow Vista, CA 95722-9431 | 2020-08-24 |
| 1154939163 | Gabriela Carrico | Registered Nurse | 2340 Blue Ridge Ave, Brentwood, CA 94513-4159 | 2020-07-15 |
| 1801412812 | Sylvia Dee Weingarden | Registered Nurse | 22178 Bauhinia Ct, Woodland Hills, CA 91367-7202 | 2020-06-25 |
| 1457976938 | Jerrick Ky Xang Padilla-phu | Registered Nurse | 1510 S Central Ave Ste 240, Glendale, CA 91204-2570 | 2020-06-10 |
| 1952924144 | Teresa Zuzalek | Registered Nurse | 5163 Via Valverde, Santa Barbara, CA 93111-2917 | 2020-05-21 |
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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.