PALO ALTO VAMC (NPI# 1649218322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649218322 |
| Entity Type | Organization |
| Organization Name | PALO ALTO VAMC |
| Other Organization Name | MODESTO VA CBOC |
| Practice Address |
1225 Oakdale Rd Modesto CA 95355-3357 |
| Mailing Address |
Po Box 94415 Cleveland OH 44101-4415 |
| Practice Telephone | 7023413020 |
| Mailing Telephone | 7023413020 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2017-11-01 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Modesto VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881637254 | Palo Alto Vamc | Clinic/Center | 7777 South Freedom Road, French Camp, CA 95231-9694 | 2006-06-14 |
| 1346289121 | Palo Alto Vamc | Clinic/Center | 13663 Mono Way, Sonora, CA 95370-5998 | 2006-06-06 |
| 1548213325 | Palo Alto Vamc | Clinic/Center | 1350 41st Ave Ste 102, Capitola, CA 95010-3934 | 2006-05-19 |
| 1124078308 | Palo Alto Vamc | Department of Veterans Affairs (VA) Pharmacy | 201 9th Street, Marina, CA 93933-6039 | 2006-05-11 |
| 1487602025 | Palo Alto Vamc | Department of Veterans Affairs (VA) Pharmacy | 5855 Silver Creek Valley Rd, San Jose, CA 95138-1059 | 2006-05-05 |
| 1205388394 | Palo Alto Vamc | Psychiatric Residential Treatment Facility | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2016-10-25 |
| 1407216880 | Palo Alto Vamc | Psychiatric Residential Treatment Facility | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2016-02-29 |
| 1396136263 | Palo Alto Vamc | Clinic/Center | 795 Willow Rd, Building 321, Room C116, Menlo Park, CA 94025-2539 | 2015-02-12 |
| 1205227170 | Palo Alto Vamc | Clinic/Center | 201 9th St, Marina, CA 93933-6039 | 2015-02-12 |
| 1043549215 | Palo Alto Vamc | Clinic/Center | 39199 Liberty St, Fremont, CA 94538-1501 | 2009-12-16 |
| Street Address |
1225 OAKDALE RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-3357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649802075 | Adrian Angelo Rueda | Social Worker | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2020-02-04 |
| 1437705597 | Cynthia Renee Renfrow | Social Worker | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2019-08-14 |
| 1114446671 | James Luke Blackwell | Social Worker | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2017-09-15 |
| 1982129201 | Arun Chowdhary | Dietitian, Registered | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2017-08-08 |
| 1013459874 | Shamerin Bourang | Social Worker | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2016-11-10 |
| 1407205651 | Kathy Ann Rasmussen | Psychologist | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2016-06-08 |
| 1306295076 | Edward Mcintosh | Social Worker | 1225 Oakdale Rd, Modesto, CA 95355 | 2016-06-03 |
| 1568837557 | Criselda Rosario | Physical Therapist | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2015-12-02 |
| 1578939872 | Brent Kornish | Social Worker | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2015-08-20 |
| 1659788180 | Benjamin Cuellar II | Social Worker | 1225 Oakdale Rd, Modesto, CA 95350 | 2014-07-16 |
| 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 | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
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|---|---|---|---|---|
| 1396378030 | Long Beach Vamc | Clinic/Center | 1149 W 190th St Ste 100, Gardena, CA 90248-4321 | 2020-02-21 |
| 1841831617 | West Los Angeles Vamc | Clinic/Center | 7 W Foothill Blvd Ste D, Arcadia, CA 91006-2367 | 2019-10-03 |
| 1255972303 | William Loushion Mccollum | Clinic/Center | 831 Gulf Ave, Wilmington, CA 90744-4201 | 2019-09-30 |
| 1851943104 | Martinez Vamc | Clinic/Center | 11985 Heritage Oak Pl Ste 100, Auburn, CA 95603-2413 | 2019-07-16 |
| 1073064408 | Martinez Vamc | Clinic/Center | 2860 Howe Rd, Martinez, CA 94553-4000 | 2016-10-20 |
| 1548651516 | Loma Linda Vamc | Clinic/Center | 1273 W Hobsonway, Blythe, CA 92225-1423 | 2015-02-12 |
| 1538550694 | Long Beach Vamc | Clinic/Center | 888 West Santa Ana Blvd, Suite 150, Santa Ana, CA 92701-4592 | 2015-02-11 |
| 1780089847 | Yin Yang Health Care | Clinic/Center | 538 S Murphy Ave, Sunnyvale, CA 94086-6116 | 2014-10-30 |
| 1144638958 | Martinez Vamc | Clinic/Center | 101 East Oberlin Road, Yreka, CA 96097-9645 | 2014-07-24 |
| 1447523196 | Martinez Vamc | Clinic/Center | 425 Plumas Blvd, Yuba City, CA 95991-5074 | 2012-02-10 |
| Find all providers with the same taxonomy | ||||
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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.