MR. JAMES COSTELLO (NPI# 1801883236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801883236 |
| Entity Type | Individual |
| Full Name | MR. JAMES COSTELLO |
| Credential | PA |
| Practice Address |
4120 Prescott Rd Modesto CA 95356-8418 |
| Practice Telephone | 2095447300 |
| Practice Fax Number | 2095447323 |
| Mailing Telephone | 2095447300 |
| Mailing Fax Number | 2095447323 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | PA10823 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | MC0665135 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881021723 | James Costello | Durable Medical Equipment & Medical Supplies | 110 Adams St, Saratoga Springs, NY 12866-5002 | 2013-10-10 |
| 1457600041 | James Paul Costello | Dentist | 862 Shellbark Way, The Villages, FL 32162-4075 | 2012-08-29 |
| 1811190515 | James Costello | Chiropractor | 4615 I- 45 North Freeway Ste#208, Houston, TX 77022 | 2007-06-08 |
| 1144733981 | James Jay Costello | Counselor | 1 Kellogg Cir, Emporia, KS 66801-5415 | 2017-11-15 |
| 1033649959 | James Costello | Student in an Organized Health Care Education/Training Program | 18 E Laurel Road, Stratford, NJ 08084 | 2017-06-13 |
| 1851711717 | James Michael Costello | Registered Nurse | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2014-04-18 |
| 1215115233 | James Robert Costello | Radiology | 770 Pine St, Suite 290, Macon, GA 31201-2173 | 2008-01-31 |
| 1740386887 | James Patrick Costello | Optometrist | 3217 Lake Ave, Wilmette, IL 60091-1080 | 2006-09-16 |
| 1760498901 | James W. Costello | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2006-07-31 |
| Street Address |
4120 PRESCOTT RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95356-8418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962499475 | S Rush Bailey | Pediatrics | 4120 Prescott Rd, Modesto, CA 95356-8418 | 2005-09-29 |
| 1558471508 | Christine Yaju Chan | Pediatrics | 4120 Prescott Rd, Modesto, CA 95356-8418 | 2006-08-30 |
| 1518973759 | Luyen D Pham | Pediatrics | 4120 Prescott Rd, Modesto, CA 95356-8418 | 2006-07-31 |
| 1477540300 | Elizabeth Bailey | Pediatrics | 4120 Prescott Rd, Modesto, CA 95356-8418 | 2005-10-05 |
| 1407843345 | Valley Oak Pediatric Associates | Pediatrics | 4120 Prescott Rd, Modesto, CA 95356-8418 | 2005-10-05 |
| 1326035726 | Jose Limon-olivares | Pediatrics | 4120 Prescott Rd, Modesto, CA 95356-8418 | 2005-09-30 |
| 1457348872 | Philip Bauman | Pediatrics | 4120 Prescott Rd, Modesto, CA 95356-8418 | 2005-09-30 |
| 1255328670 | Ronald Allen Goldman | Pediatrics | 4120 Prescott Rd, Modesto, CA 95356-8418 | 2005-09-30 |
| 1154318590 | Donna Silva | Pediatrics | 4120 Prescott Rd, Modesto, CA 95356-8418 | 2005-09-30 |
| 1932196458 | Sarah Koch | Pediatrics | 4120 Prescott Rd, Modesto, CA 95356-8418 | 2005-09-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
| 1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922569698 | Andrea Marie Peterson | Pediatrics | 1917 Lakeshore Dr, Modesto, CA 95355-1869 | 2019-03-26 |
| 1679025837 | Marcella Murphy | Pediatrics | 2904 Century Pl, Modesto, CA 95355-8736 | 2016-11-03 |
| 1619008661 | Mohammad Javaid Bhatti | Pediatrics | 1325 Blakely Ln, Modesto, CA 95356-8984 | 2007-03-08 |
| 1528103330 | Pamela A Zachar | Pediatrics | Doctors Medical Center, 1441 Florida Avenue, Modesto, CA 95350 | 2007-02-20 |
| 1972642239 | Javier Valero Fonseca | Pediatrics | 1524 Mchenry Ave Ste 570, Modesto, CA 95350-4574 | 2007-02-05 |
| 1285729830 | Rosy Shah | Pediatrics | 700 17th Street, Modesto, CA 95354 | 2006-10-03 |
| 1518991983 | Armand Richaud Hernandez | Pediatrics | 1329 Spanos Ct Ste C4, Modesto, CA 95355-2806 | 2006-07-10 |
| 1982660122 | Yvonne J Brouard | Pediatrics | 1144 Coffee Rd, Modesto, CA 95355-4205 | 2006-04-25 |
| 1679555213 | Antonio E. Apellanes | Pediatrics | 2101 Tenaya Dr, Modesto, CA 95354-3930 | 2005-11-18 |
| 1588646004 | Anuradha Dubey | Pediatrics | 4312 Spyres Way, Modesto, CA 95356-9259 | 2005-11-18 |
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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.