ETHEL GONZALES CLEMENTE M.D.
NPI 1497986731
Pediatrics - Pediatric Endocrinology in Modesto, CA

Active since August 04, 2009PECOS Enrolled
3525 PELANDALE AVE, MODESTO, CA 95356(559) 572-3880 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2022, Nov 16, 2021, Aug 14, 2018 (3 updates tracked since 2018).

About Ethel Gonzales Clemente M.d. NPPES

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

ETHEL GONZALES CLEMENTE M.D. (NPI 1497986731) is an individual pediatric endocrinology provider in Modesto, California, licensed in California (C175083) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497986731
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NameETHEL GONZALES CLEMENTECredential: M.D.
Location Address3525 PELANDALE AVEModesto, CA 95356-9781
Mailing Address9300 Valley Childrens Pl # Sc05Madera, CA 93636-8761 · (559) 353-5700
Sole ProprietorYes
Enumeration DateAugust 4, 2009
Last NPPES UpdateMarch 8, 20223 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
NPI 1497986731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
Licenses Licensed in CA · C175083 Licensed in MS · 23711 Licensed in MI · 4301114264
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Also ListedPediatricsTaxonomy 208000000X · License 098965 (OH)
3525 PELANDALE AVE, Modesto, CA 95356

Other Identifiers 1

Medicaid1497986731CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ethel Gonzales Clemente M.d. 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 95356 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
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 2

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

Nurse Practitioner (Pediatrics)
3525 PELANDALE AVE
MODESTO, CA 95356
Pediatrics (Pediatric Pulmonology)
3525 PELANDALE AVE
MODESTO, CA 95356

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 Ethel Clemente's NPI number?

The NPI number for Ethel Clemente is 1497986731. It was assigned to this individual provider in the NPPES registry on August 4, 2009.

Where is Ethel Clemente located?

Ethel Clemente practices at 3525 Pelandale Ave, Modesto, CA 95356. The listed phone number is (559) 572-3880.

What is Ethel Clemente's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Ethel Clemente enrolled in Medicare?

Yes. Ethel Clemente is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethel Clemente was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.