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EVERSIDE-CA IRONWORKERS-MODESTA
NPI 1104517937
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Modesto, CA

Active since May 15, 2023
2336 SYLVAN AVE STE C, MODESTO, CA 95355(704) 661-1380 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Everside-ca Ironworkers-modesta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERSIDE-CA IRONWORKERS-MODESTA (NPI 1104517937) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Modesto, California and active in the NPI registry since May 2023. The organization lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1104517937
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameEVERSIDE-CA IRONWORKERS-MODESTA
Location Address2336 SYLVAN AVE STE CModesto, CA 95355-9211
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(704) 661-1380
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateMay 15, 2023
NPPES CertifiedMay 15, 2023
✔ NPI 1104517937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

2336 SYLVAN AVE STE C, Modesto, CA 95355
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLARA JULIEN
Nurse Practitioner (Family)
2336 SYLVAN AVE STE C
MODESTO, CA 95355
Stanislaus County (559) 570-0605

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Everside-Ca Ironworkers-Modesta's NPI number?

The NPI number for Everside-Ca Ironworkers-Modesta is 1104517937. It was assigned to this organization in the NPPES registry on May 15, 2023.

Where is Everside-Ca Ironworkers-Modesta located?

Everside-Ca Ironworkers-Modesta is located at 2336 Sylvan Ave Ste C, Modesto, CA 95355. The listed phone number is (704) 661-1380.

What is Everside-Ca Ironworkers-Modesta's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

When was this NPI record last updated?

The NPPES record for Everside-Ca Ironworkers-Modesta was last updated on May 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.