VICTORIA GALVAN (NPI# 1598194128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598194128 |
Entity Type | Individual |
Full Name | VICTORIA GALVAN |
Practice Address |
2215 Blue Gum Ave Modesto CA 95358-1052 |
Mailing Address |
800 Scenic Dr Modesto CA 95350-6131 |
Practice Telephone | 2095053819 |
Mailing Telephone | 2095053819 |
Enumeration Date | 2013-11-04 |
Last Update Date | 2019-01-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
Y | 101YM0800X |
Counselor Specialization: Mental Health |
107675 | CA | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1620 Cummins Dr, Modesto, CA 953586400 | 2095761570 |
Street Address |
2215 BLUE GUM AVE |
City | MODESTO |
State | CA |
Zip Code | 95358-1052 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710012489 | Keri Berbena Rodgers | Registered Nurse | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2007-02-22 |
1255994745 | Joseph Aaron Quismondo Hernandez | Technician | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2019-04-19 |
1073176566 | Ricardo Maravilla-garcia | Technician | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2019-04-19 |
1609439199 | Gloria Cecilia Arroyo | Technician | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2019-04-19 |
1962863795 | Norma Elena Ramirez | Case Manager/Care Coordinator | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2016-03-07 |
1013314574 | Rita Zabrina Preciado | Case Manager/Care Coordinator | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2014-11-29 |
1174920607 | Jessica Nicole Van Tuinen | Technician | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2014-11-26 |
1235539859 | Lisa Cortez | Social Worker | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2014-09-02 |
1851791941 | Jessica Herrera | Counselor | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2014-08-26 |
1043652944 | Scott Michael Charlton | Counselor | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2013-07-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902321805 | Cecilia Yolanda Guajardo | Counselor | 2524 Finney Road, Ceres, CA 95358 | 2017-08-11 |
1205203049 | Olga Olivia Castillo | Case Manager/Care Coordinator | 1620 Cummings Rd, Modesto, CA 95358 | 2015-08-27 |
1174942270 | Rajneel Singh | Case Manager/Care Coordinator | 1524 Radcliffe Ave, Modesto, CA 95358 | 2014-04-16 |
1447486139 | Karl David Meabrod | Counselor | 190 E. Hackett Rd., Modesto, CA 95358 | 2009-06-08 |
1265634281 | County of Stanislaus | Community/Behavioral Health | 190 Hackett Road, Modesto, CA 95358 | 2007-06-01 |
1134250400 | Shelley Marie Southern | Marriage & Family Therapist | 1620 Cummins Drive, Modesto, CA 95358 | 2007-03-08 |
1538297973 | County of Stanislaus | Community/Behavioral Health | 251 East Hackett Road, Modesto, CA 95358 | 2007-02-28 |
1407347248 | Jamie Lauren Mcgillis | Counselor | 1620 Cummins Dr, Modesto, CA 95358 | 2018-05-29 |
1508250135 | Michelle Eldridge | Case Manager/Care Coordinator | 1620 Cummins Drive, Modesto, CA 95358 | 2015-03-20 |
1083747604 | Juan Carlos Teran Jr. | Case Manager/Care Coordinator | 1620 Cummins Dr, Modesto, CA 95358 | 2007-03-13 |
Find all providers in zip 95358 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043845357 | Anthony Rodriguez Contreras | Counselor | 2360 Scenic Dr, Modesto, CA 95355-4505 | 2020-03-06 |
1821567645 | Aricka Ream | Counselor | 1704 Groveton Way, Modesto, CA 95355-1904 | 2018-11-21 |
1831668466 | Palepa Iulio | Counselor | 3005 Cannon Way Apt A, Modesto, CA 95354-2155 | 2018-11-13 |
1104364801 | Catherine Mae Linville | Counselor | 1030 15th St, Modesto, CA 95354-1102 | 2017-02-02 |
1417492182 | Chaqulia Anita Ramirez | Counselor | 2020 Standiford Ave # Suitef3, Modesto, CA 95350-6529 | 2017-01-04 |
1588061337 | Ashley Boyd | Counselor | 1336 Stonum Rd, Modesto, CA 95351-5121 | 2014-11-21 |
1720482136 | Shari Johnson | Counselor | 1517 Panthers Ln, Modesto, CA 95355-9303 | 2014-10-14 |
1407126469 | Tommy Phoukhaothong Panyanouvong | Counselor | 1300 Payne Ave, Modesto, CA 95351-4821 | 2012-01-09 |
1740579424 | Milissa Ann Catherine-plett | Counselor | 108 Bonita Cir, Modesto, CA 95354-1410 | 2011-04-01 |
1205144318 | Brianna Decoteau | Counselor | 916 Mchenry, Modesto, CA 95350 | 2010-09-23 |
Find all providers in MODESTO |
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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.