COUNTY OF STANISLAUS (NPI# 1164745840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164745840 |
| Entity Type | Organization |
| Organization Name | COUNTY OF STANISLAUS |
| Other Organization Name | STANISLAUS COUNTY HEALTH SERVICES AGENCY PUBLIC HEALTH DEPARTMENT |
| Practice Address |
820 Scenic Dr Modesto CA 95350-6131 |
| Practice Telephone | 2095587700 |
| Practice Fax Number | 2095588184 |
| Mailing Telephone | 2095587700 |
| Mailing Fax Number | 2095588184 |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |
| Authorized Official Name | MARYANN LEE (MANAGING DIRECTOR) |
| Authorized Official Telephone | 2095587163 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | ZZZ25973Z | 01 |
| CA | MEDICAL | ZZR11501F | 01 |
| Other Name | Type Code |
|---|---|
| Stanislaus County Health Services Agency Public Health Department | 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 |
820 SCENIC DR |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-6131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285714386 | John Allan Walker | Internal Medicine | 820 Scenic Dr, Modesto, CA 95350-6131 | 2006-10-16 |
| 1598270050 | Kelly Marie Cardoza | Registered Nurse | 820 Scenic Dr, Modesto, CA 95350-6131 | 2017-12-06 |
| 1134653199 | Payeng Moua | Registered Nurse | 820 Scenic Dr, Modesto, CA 95350-6131 | 2017-04-17 |
| 1427582485 | Denise Rodenburg | Registered Nurse | 820 Scenic Dr, Modesto, CA 95350-6131 | 2017-04-17 |
| 1245777978 | Christine Briggs | Registered Nurse | 820 Scenic Dr, Modesto, CA 95350-6131 | 2017-01-19 |
| 1629514302 | Denise Sanford | Registered Nurse | 820 Scenic Dr, Modesto, CA 95350-6131 | 2017-01-18 |
| 1720524408 | Ricardo Garcia | Registered Nurse | 820 Scenic Dr, Modesto, CA 95350-6131 | 2017-01-18 |
| 1467875021 | Lara Laird | Registered Nurse | 820 Scenic Dr, Modesto, CA 95350-6131 | 2014-01-31 |
| 1275956294 | Laura Gregory | Registered Nurse | 820 Scenic Dr, Modesto, CA 95350-6131 | 2014-01-27 |
| 1588086342 | Dee Anna Arata | Registered Nurse | 820 Scenic Dr, Modesto, CA 95350 | 2014-01-14 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841527363 | County of Stanislaus Health Services Agency | Public Health or Welfare | 830 Scenic Dr, Modesto, CA 95350-6131 | 2009-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429390 | The Health Trust | Public Health or Welfare | 46 Race St, San Jose, CA 95126-3130 | 2020-08-26 |
| 1396365003 | Hr Support Inc | Public Health or Welfare | 6143 Mount Diablo Ct, Castro Valley, CA 94552-1948 | 2020-04-22 |
| 1811516610 | Fabian Sanchez | Public Health or Welfare | 1940 Nice Dr Apt 106, Corona, CA 92882-4584 | 2020-04-11 |
| 1528695319 | Central Coast Veterans Associates LLC | Public Health or Welfare | 1890 Diablo Drive, San Luis Obispo, CA 93405-4762 | 2020-03-24 |
| 1548893654 | Transitional Nutrition LLC | Public Health or Welfare | 741 Jackson St, Albany, CA 94706-1134 | 2020-02-17 |
| 1639723760 | Matthew Schultzel Do and Douglas Sullivan PC | Public Health or Welfare | 477 N El Camino Real Ste A308, Encinitas, CA 92024-1350 | 2019-07-26 |
| 1760048086 | Info Line of San Diego | Public Health or Welfare | 3860 Calle Fortunada Ste 101, San Diego, CA 92123-4802 | 2019-05-13 |
| 1629548615 | Mojo Enterprises Inc. | Public Health or Welfare | 1004 Emerson St, Palo Alto, CA 94301-2416 | 2018-12-03 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| 1215429188 | National Health Foundation | Public Health or Welfare | 515 S Figueroa St Ste 1300, Los Angeles, CA 90071-3300 | 2018-06-05 |
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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.