JOSE L BAZAN FNP-C
NPI 1437784469
Nurse Practitioner - Family in Modesto, CA

Q: What is Jose Bazan's NPI number?

The NPI number for Jose Bazan is 1437784469. It was assigned to this individual provider in the NPPES registry on March 10, 2020.

Q: What is Jose Bazan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jose Bazan was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 10, 2020PECOS Enrolled

1441 FLORIDA AVE, MODESTO, CA 95350(209) 578-1211 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jose L Bazan Fnp-c NPPES

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

JOSE L BAZAN FNP-C (NPI 1437784469) is an individual family provider in Modesto, California, licensed in California (95014164) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437784469

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJOSE L BAZANCredential: FNP-C

Location Address1441 FLORIDA AVEModesto, CA 95350-4404

Mailing Address5418 Flintridge CtRiverbank, CA 95367-9431 · (209) 450-8522

Phone(209) 578-1211

Sole ProprietorNo

Enumeration DateMarch 10, 2020

NPPES CertifiedMarch 10, 2020

✔ NPI 1437784469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95014164

1441 FLORIDA AVE, Modesto, CA 95350

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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)

Jose L Bazan Fnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. THUY-LIEN THI LE M.D.

Student in an Organized Health Care Education/Training Program