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STANISLAUS ORTHOPAEDIC AND SPORTS MEDICINE CLINIC
NPI 1669505160
Specialist in Modesto, CA

Active since March 13, 2007
609 E ORANGEBURG AVE, MODESTO, CA 95350(209) 572-3224(209) 572-4528 Get Directions Write a Review

NPPES record last updated: August 24, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stanislaus Orthopaedic And Sports Medicine Clinic NPPES

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

STANISLAUS ORTHOPAEDIC AND SPORTS MEDICINE CLINIC (NPI 1669505160) is a healthcare organization registered as a specialist in Modesto, California and active in the NPI registry since March 2007. The organization lists John Casey, Senior Partner, as its authorized official.

NPPES Registry Identity

NPI1669505160
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSTANISLAUS ORTHOPAEDIC AND SPORTS MEDICINE CLINIC
Location Address609 E ORANGEBURG AVEModesto, CA 95350-5580
Mailing Address609 E Orangeburg AveModesto, CA 95350-5580 · (209) 572-3224 · Fax (209) 572-4528
Phone(209) 572-3224
Fax(209) 572-4528
Organization SubpartNo
Authorized OfficialJohn CaseySenior Partner · (209) 572-3224
Enumeration DateMarch 13, 2007
Last NPPES UpdateAugust 24, 2011
✔ NPI 1669505160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
609 E ORANGEBURG AVE, Modesto, CA 95350
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Other Identifiers 1

Medicare UPINBG709CA

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 18

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

MARC A TRZECIAK D. O.
Orthopaedic Surgery
609 E ORANGEBURG AVE, SUITE 201
MODESTO, CA 95350
Stanislaus County (209) 572-3224
MRS. KAREN HENRIQUEZ OTC
Technician, Other
609 E ORANGEBURG AVE
MODESTO, CA 95350
Stanislaus County (209) 572-3224
DR. JONATHAN MATTHEW PETTEGREW D.O.
Orthopaedic Surgery (Sports Medicine)
609 E ORANGEBURG AVE, SUITE 201
MODESTO, CA 95350
Stanislaus County (209) 572-3224
MRS. BRANDY R CHAPIN OTC
609 E ORANGEBURG AVE, SUITE 201
MODESTO, CA 95350
Stanislaus County (209) 572-3224
DR. PURITA Z VILLANUEVA MD
Dermatology (Procedural Dermatology)
609 E ORANGEBURG AVE, SUITE 201
MODESTO, CA 95350
Stanislaus County (209) 572-3224
DR. JONATHAN COHEN M.D.
Specialist
609 E ORANGEBURG AVE, SUITE 201
MODESTO, CA 95350
Stanislaus County (209) 572-3224
MRS. CAROLYN LEVESEY PEASE
Physical Therapist
609 E ORANGEBURG AVE, 101
MODESTO, CA 95350
Stanislaus County (209) 574-9452
PACIFIC MEDICAL, INC.
Prosthetic/Orthotic Supplier
609 E ORANGEBURG AVE, SUITE 102
MODESTO, CA 95350
Stanislaus County (209) 526-1721

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 Stanislaus Orthopaedic And Sports Medicine Clinic's NPI number?

The NPI number for Stanislaus Orthopaedic And Sports Medicine Clinic is 1669505160. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Stanislaus Orthopaedic And Sports Medicine Clinic located?

Stanislaus Orthopaedic And Sports Medicine Clinic is located at 609 E Orangeburg Ave, Modesto, CA 95350. The listed phone number is (209) 572-3224.

What is Stanislaus Orthopaedic And Sports Medicine Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Stanislaus Orthopaedic And Sports Medicine Clinic was last updated on August 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.