CERES CARE CENTER
NPI 1780631820
Family Medicine in Ceres, CA
NPI Status: Active since May 27, 2006
Contact Information
2516 E WHITMORE AVE
CERES, CA
ZIP 95307
Phone: (209) 538-1733
- Organization
- Family Medicine
- CLIA Number: 05D1035050
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-19-2026
About CERES CARE CENTER
This page provides the complete NPI Profile along with additional information for Ceres Care Center, a primary care provider established in Ceres, California operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1780631820 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 15 years ago. Ceres Care Center 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)
- NPI
- 1780631820
- Provider Legal Name
- SUTTER GOULD MEDICAL FOUNDATION
- Other Organization Name
- CERES CARE CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2516 E WHITMORE AVE CERES, CA 95307
- Location Phone
- (209) 538-1733
- Mailing Address
- 600 COFFEE RD MODESTO, CA 95355
- Mailing Phone
- (209) 524-1211
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-27-2006
- Last Update Date
- 05-06-2010
- Code Navigator
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 .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics |
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ20685Z | MEDICARE PIN (08) | CA | |
| 0586060018 | MEDICARE NSC (07) | CA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D1035050
- Facility Type
- Physician Office
- Certificate Effective Date
- December 20, 2024
- Certificate Expiration Date
- December 19, 2026
- Laboratory Director
- DR. WILSON SAWA
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Ceres Care Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 8 | 0 | 6 | 3 | 1 | 8 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 16 | 0 | 12 | 3 | 2 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 6 + 0 + 1 + 2 + 3 + 2 + 8 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1780631820 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1134102452 | PAT MAY PAMANIAN LIMPIADO MD Individual | Family Medicine | 2516 E WHITMORE AVE CERES, CA 95307 (209) 538-1733 |
| 1366491292 | ELVIS M FEDALIZO MD Individual | Family Medicine | 2516 E WHITMORE AVE CERES, CA 95307 (209) 538-1733 |
| 1821048240 | LYNETTE R GRANDISON MD Individual | Pediatrics | 2516 E WHITMORE AVE CERES, CA 95307 (209) 538-1733 |
| 1720226533 | KIM ETHEL GOODSELL M.D. Individual | Family Medicine | 2516 E WHITMORE AVE CERES, CA 95307 (209) 538-1733 |
| 1992960843 | ISAAC P. GADDAM NP Individual | Nurse Practitioner | 2516 E WHITMORE AVE CERES, CA 95307 (209) 538-1733 |
| 1891119020 | GURPREET KAUR BHULLAR PA-C Individual | Physician Assistant | 2516 E WHITMORE AVE CERES, CA 95307 (209) 538-1733 |
| 1790368967 | OBINNA KIZITO NWACHUKWU MD Individual | Family Medicine | 2516 E WHITMORE AVE CERES, CA 95307 (209) 538-1733 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780631820, enumerated in the NPI registry as an "organization" on May 27, 2006
The provider is located at 2516 E Whitmore Ave Ceres, Ca 95307 and the phone number is (209) 538-1733
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 05D1035050 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on May 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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