CENTRAL VALLEY FUNCTIONAL RESTORATION PROGRAM (NPI# 1467992412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467992412 |
| Entity Type | Organization |
| Organization Name | CENTRAL VALLEY FUNCTIONAL RESTORATION PROGRAM |
| Practice Address |
2004 Mchenry Ave Ste C Modesto CA 95350-3260 |
| Practice Telephone | 2093373377 |
| Practice Fax Number | 2097295353 |
| Mailing Telephone | 2093373377 |
| Mailing Fax Number | 2097295353 |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |
| Authorized Official Name | DR. ROBERT CATON (PRESIDENT) |
| Authorized Official Telephone | 2094915370 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
CA | Ambulatory Health Care Facilities |
| Street Address |
2004 MCHENRY AVE STE C |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-3260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245358563 | Modesto Physical Therapy | Physical Therapist | 2004 Mchenry Ave, Modesto, CA 95350 | 2007-03-26 |
| 1437688009 | Central California Wellness & Restoration | Family Medicine | 2004 Mchenry Ave, Modesto, CA 95350-3260 | 2017-06-07 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265951644 | Edge Medical Services Inc. | Clinic/Center | 9261 Yosemite Blvd, Modesto, CA 95357-1877 | 2017-09-17 |
| 1841530037 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 573 Santa Rita Ave, Modesto, CA 95354-3756 | 2013-02-25 |
| 1689143281 | Community Birth Group | Clinic/Center | 9261 Yosemite Blvd, Modesto, CA 95357-1877 | 2018-11-13 |
| 1316023013 | Independent Physician Medical Associates | Clinic/Center | 3340 Tully Rd, Ste B-4, Modesto, CA 95350-0838 | 2006-10-27 |
| 1629094891 | County of Stanislaus | Clinic/Center | 830 Scenic Dr, Modesto, Ca Suite B, Modesto, CA 95350-6131 | 2006-07-14 |
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| 1164039020 | Crossover Health Medical Group | Clinic/Center | 14329 Frederick St Ste 7-9, Moreno Valley, CA 92553-9003 | 2020-09-24 |
| 1104432673 | Aleracare Medical Group of California | Clinic/Center | 17777 Ventura Blvd Ste 220, Encino, CA 91316-3748 | 2020-09-21 |
| 1205447687 | Shawn Richard Oneill | Clinic/Center | 5979 Trotters Ln, Alta Loma, CA 91701-2644 | 2020-08-11 |
| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
| 1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
| 1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
| 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.