COUNTY OF STANISLAUS


Address: 401 Paradise Rd, Suite E, Modesto, CA 95351-3104
Phone: 2095584000

COUNTY OF STANISLAUS (NPI# 1396941464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396941464
Entity Type Organization
Organization Name COUNTY OF STANISLAUS
Other Organization Name STANISLAUS COUNTY HEALTH SERVICES AGENCY PARADISE MEDICAL OFFICE
Practice Address 401 Paradise Rd
Suite E
Modesto
CA 95351-3104
Practice Telephone 2095584000
Mailing Telephone 2095584000
Enumeration Date 2007-06-25
Last Update Date 2008-03-17
Authorized Official Name MARY ANN LEE (MANAGING DIRECTOR)
Authorized Official Telephone 2095587163
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICAL EXE70074F 01
MEDICAL FHC70074F 01
CA FAMILY PACT HAP70074F 01

Other Provider/Organization Names

Other Name Type Code
Stanislaus County Health Services Agency Paradise Medical Office Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 401 PARADISE RD
SUITE E
City MODESTO
State CA
Zip Code 95351-3104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750395083 Walgreen Co Durable Medical Equipment & Medical Supplies 401 Paradise Rd, Modesto, CA 95351-3163 2006-07-29
1457813610 Long Hoang Dang Student in an Organized Health Care Education/Training Program 401 Paradise Rd, Modesto, CA 95351-3163 2019-04-04
1780140285 Vu Nguyen Pharmacist 401 Paradise Rd, Modesto, CA 95351-3163 2019-02-20
1801377494 Monica Garcia Pharmacist 401 Paradise Rd, Modesto, CA 95351-3163 2018-08-22
1649625146 Rizwana Mollah Student in an Organized Health Care Education/Training Program 401 Paradise Rd, Ste E, Modesto, CA 95351-3163 2016-05-03
1912388406 Amandeep Kaur Singh Student in an Organized Health Care Education/Training Program 401 Paradise Rd, Site E, Modesto, CA 95351-3163 2015-06-10
1750796371 Alexander Phan Family Medicine 401 Paradise Rd, Suite E, Modesto, CA 95351-3163 2014-06-23
1154731818 Sumerra Khan Student in an Organized Health Care Education/Training Program 401 Paradise Rd, Ste E, Modesto, CA 95351-3163 2014-05-04
1770928723 Center for Human Services Community/Behavioral Health 401 Paradise Rd, Modesto, CA 95351-3163 2013-05-03
1457628034 Marry Tran Pharmacist 401 Paradise Rd, Modesto, CA 95351-3163 2011-11-25
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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 Social Worker 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
1013139054 Bounchanh Trysavath Physician Assistant 300 I St, Modesto, CA 95351 2007-05-02
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
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

Providers in the same taxonomy and city

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
1093910275 County of Stanislaus Clinic/Center 1209 Woodrow Ave, Ste. B-10, Modesto, CA 95350-1288 2007-06-18

Providers in the same taxonomy and state

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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Competitor

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City MODESTO
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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