CERES CARE CENTER (SUTTER GOULD MEDICAL FOUNDATION) NPI 1780631820

Family Medicine in Ceres, CA

NPI 1780631820 Organization Family Medicine

About CERES CARE CENTER (SUTTER GOULD MEDICAL FOUNDATION)

Ceres Care Center (sutter Gould Medical Foundation) is a primary care provider established in Ceres, California specializing in family medicine. The NPI number of Ceres Care Center (sutter Gould Medical Foundation) is 1780631820 and was assigned on May 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Ceres Care Center (sutter Gould Medical Foundation) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Ceres Care Center. The authorized official of this NPI record is Steven A Mitnick Md (Medical Director)

A primary care provider (PCP) like Ceres Care Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

NPI

1780631820

Provider NameCERES CARE CENTER (SUTTER GOULD MEDICAL FOUNDATION)
Provider Location Address2516 E WHITMORE AVE CERES, CA 95307
Provider Mailing Address600 COFFEE RD MODESTO, CA 95355
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCERES CARE CENTER
Other Name TypeDoing Business As (3)
Enumeration Date05-27-2006
Last Update Date05-06-2010


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionFamily 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.

Business Address

CERES CARE CENTER
2516 E WHITMORE AVE
CERES, CA
ZIP 95307
Phone: (209) 538-1733

Get Directions


Mailing Address

CERES CARE CENTER
600 COFFEE RD
MODESTO, CA
ZIP 95355
Phone: (209) 524-1211



Authorized Official

Authorized Official Name STEVEN A MITNICK MD
Authorized Official TitleMEDICAL DIRECTOR
Authorized Official Phone(209) 521-6097

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1208000000XAllopathic & Osteopathic PhysiciansPediatricsNo

Taxonomy Description: a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
ZZZ20685ZMEDICARE PIN (08)CA
0586060018MEDICARE NSC (07)CA

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134102452 PAT MAY PAMANIAN LIMPIADO MD
Individual
Family Medicine2516 E WHITMORE AVE
CERES, CA 95307
(209) 538-1733
1366491292 ELVIS M FEDALIZO MD
Individual
Family Medicine2516 E WHITMORE AVE
CERES, CA 95307
(209) 538-1733
1821048240 LYNETTE R GRANDISON MD
Individual
Pediatrics2516 E WHITMORE AVE
CERES, CA 95307
(209) 538-1733
1720226533 KIM ETHEL GOODSELL M.D.
Individual
Family Medicine2516 E WHITMORE AVE
CERES, CA 95307
(209) 538-1733
1992960843 ISAAC P. GADDAM NP
Individual
Nurse Practitioner2516 E WHITMORE AVE
CERES, CA 95307
(209) 538-1733
1891119020 GURPREET KAUR BHULLAR PA-C
Individual
Physician Assistant2516 E WHITMORE AVE
CERES, CA 95307
(209) 538-1733

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.