MR. DALE WALTER FITZPATRICK MD
NPI 1376644492
Family Medicine in Modesto, CA

Active since September 25, 2006
1717 COFFEE RD, MODESTO, CA 95355(209) 529-0531(209) 529-5219 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Dale Walter Fitzpatrick Md NPPES

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

MR. DALE WALTER FITZPATRICK MD (NPI 1376644492) is an individual family medicine provider in Modesto, California, licensed in California (G65940) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1376644492
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. DALE WALTER FITZPATRICKCredential: MD
Location Address1717 COFFEE RDModesto, CA 95355-2808
Mailing Address1717 Coffee RdModesto, CA 95355-2808 · (209) 529-0531 · Fax (209) 529-5219
Fax(209) 529-5219
Sole ProprietorYes
Enumeration DateSeptember 25, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1376644492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · G65940
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1717 COFFEE RD, Modesto, CA 95355

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.

Substance Abuse Rehabilitation Facility
1717 COFFEE RD, SUITE A
MODESTO, CA 95355

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 Dale Fitzpatrick's NPI number?

The NPI number for Dale Fitzpatrick is 1376644492. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Dale Fitzpatrick located?

Dale Fitzpatrick practices at 1717 Coffee Rd, Modesto, CA 95355. The listed phone number is (209) 529-0531.

What is Dale Fitzpatrick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Dale Fitzpatrick was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.