JESUS FAVELA (NPI# 1598889529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598889529 |
| Entity Type | Individual |
| Full Name | JESUS FAVELA |
| Practice Address |
1208 9th St Modesto CA 95354-0713 |
| Mailing Address |
800 Scenic Dr Modesto CA 95350-6131 |
| Practice Telephone | 2095584464 |
| Mailing Telephone | 2095584464 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CASE MANAGER | 171M00000X | 01 |
| Street Address |
1208 9TH ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-0713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316968654 | Patricia E Conteh | Nurse Practitioner | 1208 9th St, Modesto, CA 95354-0713 | 2006-07-22 |
| 1699331876 | Kong Meng Vang | Technician | 1208 9th St, Modesto, CA 95354-0713 | 2019-05-14 |
| 1881257426 | Nathan Watkins Woolbright | Technician | 1208 9th St, Modesto, CA 95354-0713 | 2019-04-18 |
| 1508203951 | Elizabeth Purto | Counselor | 1208 9th St, Modesto, CA 95354-0713 | 2013-05-24 |
| 1174877823 | Stanislaus County | Exclusive Provider Organization | 1208 9th St, Modesto, CA 95354-0713 | 2012-11-02 |
| 1568797728 | Maria Alicia Anaya | Counselor | 1208 9th St, Modesto, Modesto, CA 95354-0713 | 2009-10-06 |
| 1528221918 | Daphine Lamb-perrilliat | Counselor | 1208 9th St, Modesto, CA 95354-0713 | 2008-07-07 |
| 1083887491 | Michelle Ann Draper | Counselor | 1208 9th St, Modesto, CA 95354-0713 | 2008-04-07 |
| 1700064193 | Telecare Corporation | Clinic/Center | 1208 9th St, Modesto, CA 95354-0713 | 2008-02-07 |
| 1205013844 | County of Stanislaus | Community/Behavioral Health | 1208 9th St, Modesto, CA 95354 | 2008-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| Find all providers in zip 95354 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on JESUS FAVELA.
| 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.