Mr. Bounchanh Trysavath
Physician Assistant

Address: 300 I St, Modesto, CA 95351
Phone: 2095212632

Mr. Bounchanh Trysavath (NPI# 1013139054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1013139054
Entity Type Individual
Full Name Mr. Bounchanh Trysavath
Gender Male
Practice Address 300 I St
CA 95351
Practice Telephone 2095212632
Practice Fax Number 2095212651
Mailing Address 300 I Street
CA 95351
Mailing Telephone 2095212632
Mailing Fax Number 2095221794
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-05-02
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers 12712 CA

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255823191 Laura Lee Ruby Goen Physician Assistant 3105 Mchenry Ave Ste 10, Modesto, CA 95350-1439 2018-06-06
1679086755 Danielle B Deen Physician Assistant 1541 Florida Ave Ste 100, Modesto, CA 95350-4438 2017-11-10
1598292724 Todd Brooks Physician Assistant 1800 Coffee Rd Ste 30, Modesto, CA 95355-2700 2017-05-18
1205240660 David Zarate Rojas Physician Assistant 405 Mid Pines Way, Modesto, CA 95354-3378 2014-06-13
1194151704 Harinder Jhatu Physician Assistant 2218 W Whitmore Ave, Modesto, CA 95358-9497 2013-09-16
1457553885 Michael Tannenbaum Physician Assistant 1808 Scenic Dr, Apt 107, Modesto, CA 95355 2007-06-05
1942378583 Karen Fields Physician Assistant Valley Wound Healing Center, 4335a Nstarway, Modesto, CA 95356 2006-12-01
1760594154 Stephen Andrew Fall Physician Assistant 1335 Coffee Rd Ste 100, Modesto, CA 95355-3192 2006-08-31
1639145386 Donna Lynn Pryor Physician Assistant 1324 Nelson Ave. Suite B, Modesto, CA 95350 2006-02-23
1487291431 Daniel Truong Physician Assistant 2116 E Orangeburg Ave Ste A, Modesto, CA 95355-3370 2019-12-09
Find all providers in MODESTO

Office Location

Street Address 300 I ST
State CA
Zip Code 95351

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235335431 Samakhom Medical Clinic Inc Clinic/Center 300 I St, Modesto, CA 95351-2826 2007-06-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700392487 Western Dental Services, Inc. Dentist 1524 Richland Ave, Ceres, CA 95351 2017-12-18
1881039873 Sabrina Arora-thissen Family Medicine 401 Paradise Rd. Ste, Modesto, CA 95351 2013-05-03
1407163561 Maliza Cahee Oliver Dentist 1404 Mitchell Rd, Modesto, CA 95351 2010-09-09
1124345616 Jason Lee Paul Wayrynen Case Manager/Care Coordinator 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 2010-04-23
1841469640 Edgar Hse-hwa Han Physical Medicine & Rehabilitation 1521 N. Carpenter Road, Suite D-1, Modesto, CA 95351 2008-02-26
1326259326 Karen Ann Peterson Nurse Practitioner 1340 Mitchell Rd, Modesto, CA 95351 2007-05-24
1245363464 Sharon Basaldua1 Counselor 813 Moon Lane, Modesto, CA 95351 2007-03-14
1710046834 Phil Chen Dentist 1460 Mitchell Road, Suite B, Modesto, CA 95351 2006-12-06
1649366055 Victor Y. Chen Family Medicine 401 Paradise Road, Suite E, Modesto, CA 95351 2006-10-04
1487679296 Ronald M Megee Chiropractor 2507 East Hatch Rd., Suite B, Modesto, CA 95351 2006-07-13
Find all providers in zip 95351


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Zip Code 95351

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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