LORI ANN DOYLE (NPI# 1982755161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982755161 |
| Entity Type | Individual |
| Full Name | LORI ANN DOYLE |
| Other Name | LORI ANN LONG |
| Credential | PA |
| Practice Address |
401 Paradise Rd Modesto CA 95351-3163 |
| Practice Telephone | 2095584000 |
| Mailing Telephone | 2095584000 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA13554 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LIC. | PA13554 | 01 |
| CA | DEA | MD4960731 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558753293 | Lori Dodd Doyle | Physician Assistant | 8650 Sudley Rd, Suite #310, Manassas, VA 20110-4419 | 2015-03-03 |
| 1245527464 | Lori Louise Doyle | Developmental Therapist | 1100 N East St, Kewanee, IL 61443-1133 | 2011-07-08 |
| Street Address |
401 PARADISE RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95351-3163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750395083 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 401 Paradise Rd, Modesto, CA 95351-3163 | 2006-07-29 |
| 1457813610 | Long Hoang Dang | Student in an Organized Health Care Education/Training Program | 401 Paradise Rd, Modesto, CA 95351-3163 | 2019-04-04 |
| 1780140285 | Vu Nguyen | Pharmacist | 401 Paradise Rd, Modesto, CA 95351-3163 | 2019-02-20 |
| 1801377494 | Monica Garcia | Pharmacist | 401 Paradise Rd, Modesto, CA 95351-3163 | 2018-08-22 |
| 1649625146 | Rizwana Mollah | Student in an Organized Health Care Education/Training Program | 401 Paradise Rd, Ste E, Modesto, CA 95351-3163 | 2016-05-03 |
| 1912388406 | Amandeep Kaur Singh | Student in an Organized Health Care Education/Training Program | 401 Paradise Rd, Site E, Modesto, CA 95351-3163 | 2015-06-10 |
| 1750796371 | Alexander Phan | Family Medicine | 401 Paradise Rd, Suite E, Modesto, CA 95351-3163 | 2014-06-23 |
| 1154731818 | Sumerra Khan | Student in an Organized Health Care Education/Training Program | 401 Paradise Rd, Ste E, Modesto, CA 95351-3163 | 2014-05-04 |
| 1770928723 | Center for Human Services | Community/Behavioral Health | 401 Paradise Rd, Modesto, CA 95351-3163 | 2013-05-03 |
| 1457628034 | Marry Tran | Pharmacist | 401 Paradise Rd, Modesto, CA 95351-3163 | 2011-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392487 | Western Dental Services, Inc. | Dentist | 1524 Richland Ave, Ceres, CA 95351 | 2017-12-18 |
| 1881039873 | Sabrina Arora-thissen | Family Medicine | 401 Paradise Rd. Ste, Modesto, CA 95351 | 2013-05-03 |
| 1407163561 | Maliza Cahee Oliver | Dentist | 1404 Mitchell Rd, Modesto, CA 95351 | 2010-09-09 |
| 1124345616 | Jason Lee Paul Wayrynen | Social Worker | 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 | 2010-04-23 |
| 1841469640 | Edgar Hse-hwa Han | Physical Medicine & Rehabilitation | 1521 N. Carpenter Road, Suite D-1, Modesto, CA 95351 | 2008-02-26 |
| 1326259326 | Karen Ann Peterson | Nurse Practitioner | 1340 Mitchell Rd, Modesto, CA 95351 | 2007-05-24 |
| 1013139054 | Bounchanh Trysavath | Physician Assistant | 300 I St, Modesto, CA 95351 | 2007-05-02 |
| 1245363464 | Sharon Basaldua1 | Counselor | 813 Moon Lane, Modesto, CA 95351 | 2007-03-14 |
| 1710046834 | Phil Chen | Dentist | 1460 Mitchell Road, Suite B, Modesto, CA 95351 | 2006-12-06 |
| 1649366055 | Victor Y. Chen | Family Medicine | 401 Paradise Road, Suite E, Modesto, CA 95351 | 2006-10-04 |
| Find all providers in zip 95351 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992987259 | Kristine Ann Rebiero | Physician Assistant | 1030 Scenic Dr, Modesto, CA 95350-6133 | 2007-11-28 |
| 1174606800 | Delia Yanira Hernandez | Physician Assistant | 1317 Oakdale Rd Ste 440, Modesto, CA 95355 | 2006-10-24 |
| 1194821223 | Linda Sue Phillips | Physician Assistant | 3400 Finch Rd, Parker-racor Healthstat Clinic, Modesto, CA 95354-4125 | 2006-09-16 |
| 1265415525 | Natalie Angele Mattos | Physician Assistant | 1114 6th St, Modesto, CA 95354-2203 | 2005-11-21 |
| 1598264103 | Corey Tremblay | Physician Assistant | 817 Coffee Rd Ste B, Modesto, CA 95355-4241 | 2018-02-09 |
| 1720592033 | Jennifer Ann O'connor | Physician Assistant | 1114 6th St, Modesto, CA 95354-2203 | 2017-11-22 |
| 1275938748 | Cleiban Hernan Vega | Physician Assistant | 1234 Mchenry Ave, Modesto, CA 95350-5373 | 2014-10-27 |
| 1861895278 | David Ronald Boone | Physician Assistant | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2014-09-30 |
| 1730594078 | Joshua Clements | Physician Assistant | 2101 Tenaya Dr, Modesto, CA 95354-3930 | 2014-06-25 |
| 1134473564 | Sheena Latrac Allen | Physician Assistant | 1441 Florida Ave, Modesto, CA 95350-4404 | 2012-11-07 |
| 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.