COUNTY OF STANISLAUS (NPI# 1700109485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700109485 |
| Entity Type | Organization |
| Organization Name | COUNTY OF STANISLAUS |
| Other Organization Name | STANISLAUS COUNTY HEALTH SERVICES AGENCY REHABILITATION DEPARTMENT |
| Practice Address |
830 Scenic Drive Suite B Modesto CA 95350-6131 |
| Practice Telephone | 2095587000 |
| Mailing Telephone | 2095587000 |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |
| Authorized Official Name | MARYANN LEE (MANAGING DIRECTOR) |
| Authorized Official Telephone | 2095587163 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | CMM70759F | 01 |
| CA | MEDICARE | ZZZ21961Z | 01 |
| Other Name | Type Code |
|---|---|
| Stanislaus County Health Services Agency Rehabilitation Department | Doing Business As Name - Organization |
| 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 |
| Street Address |
830 SCENIC DRIVE SUITE B |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-6131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427230960 | Evelina Mcdowall | Registered Nurse | 830 Scenic Drive, Bld #3, Modesto, CA 95353-3127 | 2007-11-27 |
| 1801204896 | Meng Fang | Registered Nurse | 830 Scenic Drive, Modesto, CA 95353-3127 | 2014-07-23 |
| 1730363243 | Irma Yolanda Salazar | Registered Nurse | 830 Scenic Drive, Modesto, CA 95353-3127 | 2007-12-19 |
| 1992989404 | Dwight Lloyd Horning | Case Manager/Care Coordinator | 830 Scenic Drive, Building 3, Modesto, CA 95353-3127 | 2007-12-19 |
| 1568645372 | Judith Eileen Hubers-brandt | Case Manager/Care Coordinator | 830 Scenic Drive, Bldg. 3, Modesto, CA 95350 | 2007-12-14 |
| 1295918852 | Renee Cynthia-lauderdale Crawford | Case Manager/Care Coordinator | 830 Scenic Drive, Bldg 3, Modesto, CA 95353-3127 | 2007-12-06 |
| 1851574388 | Paul Roger Murphy | Case Manager/Care Coordinator | 830 Scenic Drive, Modesto, CA 95353-3127 | 2007-12-06 |
| 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 | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679642060 | County of Stanislaus | Clinic/Center | 1325 Sonoma Ave, Modesto, CA 95355-3922 | 2006-11-07 |
| 1467703587 | California Physical, Occupational, Speech & Hand Therapy, Inc. | Clinic/Center | 1539 Mchenry Ave, Modesto, CA 95350-4528 | 2012-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719265 | Physiotherapy Associates, Inc. | Clinic/Center | 11253 Brockway Rd Ste 102, Truckee, CA 96161-3358 | 2020-10-27 |
| 1518571066 | Palm Springs Recovery Treatment Center | Clinic/Center | 45650 Williams Rd, Indian Wells, CA 92210-8474 | 2020-09-02 |
| 1417561242 | Hak Medical Consulting | Clinic/Center | 15424 Marilla St, North Hills, CA 91343-2125 | 2020-08-31 |
| 1780293530 | Physiotherapy Associates, Inc. | Clinic/Center | 2060 Otay Lakes Rd Ste 110, Chula Vista, CA 91913-1364 | 2020-07-28 |
| 1083239875 | Physiotherapy Associates, Inc. | Clinic/Center | 6400 Village Pkwy Ste 104, Dublin, CA 94568-3007 | 2020-06-08 |
| 1497385017 | Matrix Rehabilitation, Inc. | Clinic/Center | 420 E 3rd St Ste 701, Los Angeles, CA 90013-1646 | 2020-01-23 |
| 1326689050 | Physiotherapy Associates, Inc. | Clinic/Center | 1470 Civic Ct Ste 320, Concord, CA 94520-5230 | 2019-10-03 |
| 1023661246 | Physiotherapy Associates, Inc. | Clinic/Center | 6200 Wilshire Blvd Ste 906, Los Angeles, CA 90048-5810 | 2019-07-17 |
| 1821556689 | Top Tier Rehab & Performance | Clinic/Center | 45 Tulare Dr, Aliso Viejo, CA 92656-8084 | 2019-03-11 |
| 1194281550 | Matrix Rehabilitation, Inc. | Clinic/Center | 15585 Monterey Rd Ste D, Morgan Hill, CA 95037 | 2019-02-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COUNTY OF STANISLAUS.
| 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.