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BRITIEL BETHISHOU DO
NPI 1336943604
Student in an Organized Health Care Education/Training Program in Modesto, CA

Active since April 03, 2025PECOS Enrolled
1700 COFFEE RD, MODESTO, CA 95355(209) 569-7493 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Britiel Bethishou Do NPPES

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

BRITIEL BETHISHOU DO (NPI 1336943604) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336943604
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBRITIEL BETHISHOUCredential: DO
Location Address1700 COFFEE RDModesto, CA 95355-2803
Mailing Address1700 Coffee RdModesto, CA 95355-2803
Phone(209) 569-7493
Sole ProprietorNo
Enumeration DateApril 3, 2025
NPPES CertifiedApril 3, 2025
✔ NPI 1336943604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1700 COFFEE RD, Modesto, CA 95355
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Britiel Bethishou Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

ERIC CHAU-YONG KU MD
Radiology (Radiation Oncology)
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 572-7237
DR. STEPHANIE TOVAR PHARMD
Pharmacist
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 526-4500
MOHSEN MERATI MD
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 569-7493
MS. FANTINE WARDA NP
Nurse Practitioner
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 526-4500
KHALID AL ZUBAIDI MD
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 569-7493
ZOHAL RAHIMI
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 572-7095
TRACY I GASTELUM AGACNP-BC
Nurse Practitioner (Acute Care)
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 526-4500
DR. SARAI STERN COUTIN MD
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 572-7095

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 Britiel Bethishou's NPI number?

The NPI number for Britiel Bethishou is 1336943604. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Where is Britiel Bethishou located?

Britiel Bethishou practices at 1700 Coffee Rd, Modesto, CA 95355. The listed phone number is (209) 569-7493.

What is Britiel Bethishou's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Britiel Bethishou enrolled in Medicare?

Yes. Britiel Bethishou is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Britiel Bethishou was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.