MATHURAN SUNDARAMOORTHY (NPI# 1982057154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982057154 |
| Entity Type | Individual |
| Full Name | MATHURAN SUNDARAMOORTHY |
| Practice Address |
2101 Tenaya Dr Modesto CA 95354-3930 |
| Mailing Address |
1114 6th St Modesto CA 95354-2203 |
| Practice Telephone | 8666824842 |
| Mailing Telephone | 8666824842 |
| Mailing Fax Number | 4097725462 |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2019-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | BP10057062 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 301 University Blvd, Galveston, TX 775550570 | 4097727063 | 4097478579 |
| Street Address |
2101 TENAYA DR |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-3930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679555213 | Antonio E. Apellanes | Pediatrics | 2101 Tenaya Dr, Modesto, CA 95354-3930 | 2005-11-18 |
| 1134620263 | Ede J Voorheis | Physician Assistant | 2101 Tenaya Dr, Modesto, CA 95354-3930 | 2018-02-23 |
| 1922408848 | Jeffrey Gianelli | Social Worker | 2101 Tenaya Dr, Modesto, CA 95354-3930 | 2014-08-27 |
| 1730594078 | Joshua Clements | Physician Assistant | 2101 Tenaya Dr, Modesto, CA 95354-3930 | 2014-06-25 |
| 1891083895 | Peter Kao | Nurse Practitioner | 2101 Tenaya Dr, Modesto, CA 95354-3930 | 2011-07-12 |
| 1407188675 | Golden Valley Health Center | Community/Behavioral Health | 2101 Tenaya Dr, Modesto, CA 95354-3930 | 2010-02-12 |
| 1962680421 | Golden Valley Health Center | Clinic/Center | 2101 Tenaya Dr, Modesto, CA 95354-3930 | 2008-02-07 |
| 1699959676 | Carol Wherry Triller | Registered Nurse | 2101 Tenaya Dr, Modesto, CA 95354-3930 | 2007-12-26 |
| 1992889380 | Renee Marshall | Surgery | 2101 Tenaya Dr, Modesto, CA 95354-3930 | 2006-10-24 |
| 1730195355 | Brian Weatherbee | Physical Therapist | 2101 Tenaya Dr, Modesto, CA 95354-3930 | 2006-08-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194288423 | Nirmal S Rai Md Inc | Internal Medicine | 1930 E Hatch Rd Ste A, Modesto, CA 95351-5132 | 2019-04-12 |
| 1720598097 | Verdant Health Care, Inc. | Internal Medicine | 400 E Orangeburg Ave Ste 3, Modesto, CA 95350-5365 | 2017-10-02 |
| 1649675778 | David H Lyon A Professional Corporation | Internal Medicine | 4701 Sisk Rd, Suite 103, Modesto, CA 95356-9320 | 2014-10-31 |
| 1003230343 | Tushar Modi, Md., Inc. | Internal Medicine | 413 E Orangeburg Ave Ste A, Modesto, CA 95350-5369 | 2014-02-06 |
| 1215103056 | Rosalio Orozco Rubio | Internal Medicine | 1234 Mchenry Ave, Modesto, CA 95350-5373 | 2008-05-01 |
| 1720278450 | Arwinnah Bautista M.d., A Professional Corporation | Internal Medicine | 2612 Temescal Dr, Modesto, CA 95355-8698 | 2007-07-30 |
| 1417001538 | David Lewis Davis | Internal Medicine | 901 Mcguire Dr, Modesto, CA 95355-4523 | 2007-01-23 |
| 1295891224 | Jonathan Sam Davidson | Internal Medicine | 4206 Technology Dr Ste 2, Modesto, CA 95356-8769 | 2006-12-27 |
| 1538229638 | David Lyon | Internal Medicine | 103 Modesto Ave, Modesto, CA 95354-0414 | 2006-12-11 |
| 1841375870 | Nirmal S Rai Md and Meetinder K Rai Md Inc | Internal Medicine | 1930 E Hatch Rd, Ste A, Modesto, CA 95351-5132 | 2006-10-26 |
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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.