COUNTY OF STANISLAUS (NPI# 1093910275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093910275 |
| Entity Type | Organization |
| Organization Name | COUNTY OF STANISLAUS |
| Other Organization Name | STANISLAUS COUNTY HEALTH SERVICES AGENCY MCHENRY MEDICAL OFFICE |
| Practice Address |
1209 Woodrow Ave Ste. B-10 Modesto CA 95350-1288 |
| Practice Telephone | 2095585312 |
| Mailing Telephone | 2095585312 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2008-03-17 |
| Authorized Official Name | MARY ANN LEE (MANAGING DIRECTOR) |
| Authorized Official Telephone | 2095587163 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | CMM70751F | 01 |
| MEDICAL | FHC70751F | 01 | |
| CA | FAMILY PACT | HAP70751F | 01 |
| Other Name | Type Code |
|---|---|
| Stanislaus County Health Services Agency McHenry Medical Office | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730650524 | County of Stanislaus | Community/Behavioral Health | 4640 Spyres Way Ste B7, Modesto, CA 95356-9800 | 2018-12-06 |
| 1992909378 | County of Stanislaus | Community/Behavioral Health | 500 N 9th St, Bldg B, Modesto, CA 95350 | 2007-06-12 |
| 1265634281 | County of Stanislaus | Community/Behavioral Health | 190 Hackett Road, Modesto, CA 95358 | 2007-06-01 |
| 1205969904 | County of Stanislaus | Community/Behavioral Health | 1904 Richland Ave, Cert - C2 Bldg, Ceres, CA 95307-4562 | 2007-03-13 |
| 1750413704 | County of Stanislaus | Community/Behavioral Health | 631 West F. Street, Oakdale, CA 95361-3734 | 2007-03-12 |
| 1639208820 | County of Stanislaus | Community/Behavioral Health | 1418 J St, Modesto, CA 95354-1013 | 2007-03-05 |
| 1679601736 | County of Stanislaus | Community/Behavioral Health | 500 N 9th St, Bldg A, Modesto, CA 95350 | 2007-03-01 |
| 1225166739 | County of Stanislaus | Community/Behavioral Health | 2101 Geer Rd Ste 120, Turlock, CA 95382 | 2007-02-28 |
| 1538297973 | County of Stanislaus | Community/Behavioral Health | 251 East Hackett Road, Modesto, CA 95358 | 2007-02-28 |
| 1578691903 | County of Stanislaus | Community/Behavioral Health | 500 N. 9th Street, Bldg. A, Modesto, CA 95350 | 2007-02-28 |
| Street Address |
1209 WOODROW AVE STE. B-10 |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-1288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508832965 | Hilda A Villarreal | Clinical Nurse Specialist | 1209 Woodrow Ave, Modesto, CA 95350-1288 | 2006-02-27 |
| 1114300209 | Karen Ann P Rayos | Family Medicine | 1209 Woodrow Ave, Modesto, CA 95350-1288 | 2015-07-07 |
| 1295747152 | Juan Lopez Solorza | Family Medicine | 1209 Woodrow Ave, Suite B10, Modesto, CA 95350-1288 | 2006-08-12 |
| 1447268966 | Thomas Raymond Wenstrup | Family Medicine | 1209 Woodrow Ave, Suite B10, Modesto, CA 95350-1288 | 2006-08-03 |
| 1346258555 | Seang Meng Seng | Family Medicine | 1209 Woodrow Ave, Suite B10, Modesto, CA 95350-1288 | 2006-08-03 |
| 1134137680 | Suzanne Louise Meyer | Internal Medicine | 1209 Woodrow Ave, Suite B10, Modesto, CA 95350-1288 | 2006-08-03 |
| 1629095567 | Kay Zagaris | Nurse Practitioner | 1209 Woodrow Ave, Suite B-10, Modesto, CA 95350-1288 | 2006-07-16 |
| 1760445589 | Leslie Ann Halseth | Physician Assistant | 1209 Woodrow Ave, Modesto, CA 95350-1273 | 2006-04-11 |
| 1326001074 | Barbara Ruddy | Nurse Practitioner | 1209 Woodrow Ave, Ste B-10, Modesto, CA 95350 | 2006-04-11 |
| 1366419731 | John Lee Kitchell | Physician Assistant | 1209 Woodrow Ave, Suite B-10, Modesto, CA 95350-1288 | 2006-03-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366799801 | Nineveh Outreach | Clinic/Center | 1601 Coffee Rd, Modesto, CA 95355-2801 | 2012-08-14 |
| 1225164056 | Reproductive Health Care Center | Clinic/Center | 1801 Tully Rd Ste F, Modesto, CA 95350-2931 | 2007-02-26 |
| 1730285073 | Valley Wound Healing Center, Inc. | Clinic/Center | 4335 N Star Way, A, Modesto, CA 95356-8624 | 2006-09-15 |
| 1619444882 | American Current Care of California, A Medical Corporation | Clinic/Center | 1524 Mchenry Ave Ste 135, Modesto, CA 95350-4569 | 2018-10-25 |
| 1982171153 | American Current Care of California, A Medical Corporation | Clinic/Center | 1340 Mitchell Rd, Modesto, CA 95351-4920 | 2018-10-25 |
| 1891991741 | County of Stanislaus | Clinic/Center | 830 Scenic Dr, Ste A, Modesto, CA 95350-6131 | 2007-06-26 |
| 1154527232 | County of Stanislaus | Clinic/Center | 830 Scenic Dr, Suite B, Modesto, CA 95350-6131 | 2007-06-25 |
| 1235335431 | Samakhom Medical Clinic Inc | Clinic/Center | 300 I St, Modesto, CA 95351-2826 | 2007-06-25 |
| 1396941464 | County of Stanislaus | Clinic/Center | 401 Paradise Rd, Suite E, Modesto, CA 95351-3104 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053272 | West Sacramento Primary Care Inc. | Clinic/Center | 2455 Jefferson Blvd Ste 100, West Sacramento, CA 95691-5329 | 2020-11-06 |
| 1306447941 | Bedford Breast Surgeons | Clinic/Center | 436 North Bedford Drive, Suite 105, Beverly Hills, CA 90210-4323 | 2020-11-02 |
| 1538767082 | County of Los Angeles | Clinic/Center | 6902 Atlantic Ave, Bell, CA 90201-3647 | 2020-10-15 |
| 1225636855 | Optimum Wellness and Weight Loss | Clinic/Center | 910 S El Camino Real Ste 100, San Clemente, CA 92672-4279 | 2020-10-15 |
| 1932707700 | Body By Design Wellness and Massage Clinic, Inc. | Clinic/Center | 3625 E Thousand Oaks Blvd Ste 215216, Westlake Village, CA 91362-3626 | 2020-10-14 |
| 1639786189 | Rams Ppe | Clinic/Center | 15329 Bonanza Rd Ste D, Victorville, CA 92392-2457 | 2020-09-29 |
| 1720695729 | Vila Facial Plastic Surgery | Clinic/Center | 1000 S Eliseo Dr Ste 203, Greenbrae, CA 94904-2151 | 2020-09-24 |
| 1902410442 | Hope Elementary School District | Clinic/Center | 3970 La Colina Rd Ste 14, Santa Barbara, CA 93110-1596 | 2020-09-02 |
| 1558974097 | Jiseki Health Inc | Clinic/Center | 1150 S King Rd Ste 40, San Jose, CA 95122-2140 | 2020-08-25 |
| 1902417678 | I-ma Acupuncture Inc | Clinic/Center | 2485 High School Ave Ste 123, Concord, CA 94520-1812 | 2020-08-14 |
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| 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.