Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Doris Short, RADT1

Individual provider Case Manager/Care Coordinator · NPI 1700410420

Doris Short, RADT1 is a Case Manager/Care Coordinator in Modesto, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1620 Cummins Dr
Modesto, CA 95358-6400
Phone: (209) 576-1750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-LMKCTP (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1700410420
Entity typeIndividual (Type 1)
GenderFemale
Credentials RADT1
Sole proprietorNo
NPI enumeratedMarch 3, 2020
Last updated in NPPESDecember 11, 2023
Certification dateFebruary 7, 2023
Mailing address1620 Cummins Dr, Modesto, CA 95358-6400

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