Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417014176 Individual Practitioner Male Practitioner

John Black

Specialist • Modesto, CA

Professional Overview & Biography Verified Profile Summary

John Black is a registered healthcare professional specializing in Specialist in Modesto, CA. Practice services are available at 1601 YOSEMITE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1601 Yosemite Blvd
Suite A

Modesto, CA 953542800

Telephone 2093411824
Fax 2095231296
Associated Practice Facility / Clinic
🏢 Telecare Corporation Facility NPI 1356427413

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.2 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
154 Specialists

Practicing in Modesto, CA (6446 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003057175
Crystal Gonzalez

Counselor - Professional

NPI 1003645359
Joanna Torrez

Adult Companion

NPI 1003798539
Athena Herrera

Social Worker - Clinical

NPI 1013611185
Francisca Castro

Student in an Organized Health Care Education/Training Program

NPI 1013735166
Cordia Lehn

Social Worker

NPI 1023346608

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1601 YOSEMITE BLVD, SUITE A, MODESTO, CA 953542800 (Tel: 2093411824)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5336 AVENUE D, MODESTO, CA 953589445 (Tel: 2095371516)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN BLACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist

🟢
Initial NPI Registration & Enumeration January 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for John Black. Be the first to share your experience!

Sign in to leave a review for John Black

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1417014176
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

5336 Avenue D

Modesto, CA 953589445

Phone: 2095371516

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.