CYNTHIA CASLEY STURDIVANT M.D.
NPI 1710187976
Specialist in Modesto, CA

Active since July 24, 2007PECOS EnrolledAccepts Medicare Assignment
4601 DALE RD, ANESTHESIA OFFICE 2ND FLOOR, MODESTO, CA 95356(209) 366-4175 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cynthia Casley Sturdivant M.d. NPPES

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

CYNTHIA CASLEY STURDIVANT M.D. (NPI 1710187976) is an individual specialist in Modesto, California, licensed in California (A100017) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1710187976
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameCYNTHIA CASLEY STURDIVANTCredential: M.D.
Location Address4601 DALE RD, ANESTHESIA OFFICE 2ND FLOORModesto, CA 95356-9718
Mailing Address1271 Stonebridge DrLodi, CA 95242-9178 · (209) 366-4175
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 24, 2007
Last NPPES UpdateJanuary 10, 2022
NPI 1710187976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A100017
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.
4601 DALE RD, Modesto, CA 95356

Other Names 1

Other Name (5)Cynthia Casley Breed Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Cynthia Casley Sturdivant M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799863015
PECOS Enrollment IDI20231223000025, I20231223000109, I20240125003907
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.

Emergency Medicine
4601 DALE RD
MODESTO, CA 95356
Student in an Organized Health Care Education/Training Program
4601 DALE RD
MODESTO, CA 95356
Student in an Organized Health Care Education/Training Program
4601 DALE RD
MODESTO, CA 95356
Internal Medicine
4601 DALE RD
MODESTO, CA 95356
Surgery
4601 DALE RD, SUITE 4A5
MODESTO, CA 95356
Internal Medicine (Gastroenterology)
4601 DALE RD
MODESTO, CA 95356
Respiratory Therapist, Registered
4601 DALE RD
MODESTO, CA 95356
Pharmacist
4601 DALE RD
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 Cynthia Sturdivant's NPI number?

The NPI number for Cynthia Sturdivant is 1710187976. It was assigned to this individual provider in the NPPES registry on July 24, 2007. The provider is also known as Cynthia Casley Breed MD.

Where is Cynthia Sturdivant located?

Cynthia Sturdivant practices at 4601 Dale Rd Anesthesia Office 2nd Floor, Modesto, CA 95356. The listed phone number is (209) 366-4175.

What is Cynthia Sturdivant's specialty?

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

Is Cynthia Sturdivant enrolled in Medicare?

Yes. Cynthia Sturdivant is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Cynthia Sturdivant was last updated on January 10, 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.