STANISLAUS HEALTH AND WELLNESS INC (NPI# 1215440631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215440631 |
| Entity Type | Organization |
| Organization Name | STANISLAUS HEALTH AND WELLNESS INC |
| Other Organization Name | 209 URGENT CARE |
| Practice Address |
1908 Coffee Rd Ste 3 Modesto CA 95355 |
| Mailing Address |
Po Box 578700 Modesto CA 95357-8700 |
| Practice Telephone | 2098469429 |
| Practice Fax Number | 2095511665 |
| Mailing Telephone | 2095510420 |
| Mailing Fax Number | 2095511665 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2019-12-01 |
| Authorized Official Name | DR. GEORGE I JACOB (PRESIDENT) |
| Authorized Official Telephone | 2098469429 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1447338355 | 01 | |
| NPI | 1225073307 | 01 |
| Other Name | Type Code |
|---|---|
| 209 Urgent Care | Doing Business As Name - Organization |
| Street Address |
1908 COFFEE RD STE 3 |
| City | MODESTO |
| State | CA |
| Zip Code | 95355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770584112 | George I Jacob | Chiropractor | 1908 Coffee Rd Ste 3, Modesto, CA 95355-2719 | 2005-08-09 |
| 1922631480 | Ramin Lail | Nurse Practitioner | 1908 Coffee Rd Ste 3, Modesto, CA 95355-2719 | 2020-02-12 |
| 1194361543 | Jenny Manalo Aquino | Nurse Practitioner | 1908 Coffee Rd Ste 3, Modesto, CA 95355-2719 | 2019-11-20 |
| 1447338355 | Ravi Gogna | Emergency Medicine | 1908 Coffee Rd Ste 3, Modesto, CA 95355-2719 | 2006-11-01 |
| 1225073307 | Muhammad A Mattu | Internal Medicine | 1908 Coffee Rd Ste 3, Modesto, CA 95355-2719 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780816017 | Modesto Urgent Care Inc | Clinic/Center | 1908 Coffee Rd, Suite 3, Modesto, CA 95355-2719 | 2009-08-20 |
| 1952709305 | Elite Urgent Care Inc | Clinic/Center | 220 Standiford Ave, Suite F, Modesto, CA 95350-1159 | 2014-12-17 |
| 1538580543 | California Urgent Care Center | Clinic/Center | 801 17th St, Modesto, CA 95354-1243 | 2013-12-17 |
| 1992135081 | Joselyn Arandia Deculing | Clinic/Center | 1234 Mchenry Ave, Modesto, CA 95350-5373 | 2013-11-26 |
| 1619223062 | Greenleaf Management | Clinic/Center | 4707 Greenleaf Ct, Suite A, Modesto, CA 95356-8733 | 2012-08-02 |
| 1427254663 | County of Stanislaus | Clinic/Center | 830 Scenic Dr, Suite B, Modesto, CA 95350-6131 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556440 | Cottage Clinical Network LLC | Clinic/Center | 7070 Hollister Ave Ste 103, Goleta, CA 93117-2895 | 2020-10-21 |
| 1780291047 | Ultra Urgent Care | Clinic/Center | 2875 W 7th St, Los Angeles, CA 90005-3907 | 2020-09-30 |
| 1780291351 | Care Now Urgentcare | Clinic/Center | 5236 Palm Ave, Whittier, CA 90601-2210 | 2020-09-28 |
| 1811503519 | We Care Urgent Care LLC | Clinic/Center | 11177 Tampa Ave Unit A, Northridge, CA 91326-2254 | 2020-09-17 |
| 1114531035 | Q & M Physician Assistant Corporation | Clinic/Center | 941 Kendall Dr Ste C, San Bernardino, CA 92407-4156 | 2020-09-08 |
| 1568070662 | Atlas Urgent Care Corporation | Clinic/Center | 5531 Business Park S, Bakersfield, CA 93309-1668 | 2020-07-15 |
| 1952927378 | Anaheim Urgent Care, Inc. | Clinic/Center | 28900 S. Western Ave, Ranchos Palos Verdes, CA 90275 | 2020-06-22 |
| 1932724507 | Cottage Clinical Network, LLC | Clinic/Center | 1606 E Clark Ave, Building C, Suite 2, Orcutt, CA 93455 | 2020-06-10 |
| 1124643911 | Cottage Clinical Network, LLC | Clinic/Center | 3970 Broad St, San Luis Obispo, CA 93401-7097 | 2020-06-08 |
| 1861017659 | Cottage Clinical Network, LLC | Clinic/Center | 777 E Foothill Blvd # 777a775b, San Luis Obispo, CA 93405-1617 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
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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.