MR. STEVEN DOUGLAS LANDES RT NPI 1316978679

NPI Information

NPI: 1316978679
Provider Name: MR. STEVEN DOUGLAS LANDES, RT
Classification: Radiologic Technologist - 247100000X
Entity Type: Individual
Address:
2267 BANGS AVE
MODESTO, CA
ZIP 95356
Phone: (209) 545-9983
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MR. Steven Douglas Landes, RT is a radiologic technologist in Modesto, CA. The provider is a medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation. MR. Steven Douglas Landes, RT NPI is 1316978679. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2267 BANGS AVE
MODESTO, CA
ZIP 95356-701
Phone: (209) 545-9983
Fax: (209) 543-0923

The enumeration date for this NPI number is 7/5/2006 and was last updated on 4/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	247100000X	Radiologic Technologist		RHT 42681	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W31863	MEDICARE UPIN
2	ZZZ23704Z	MEDICARE PIN
3	BBB80277B	OTHER	CALIFORNIA	EDI #
4	XR010013F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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