| Stanislaus County Health Services Agency | |
|
830 Scenic Dr Modesto, Ca Suite B Modesto CA 95350-6131 | |
| (209) 558-7000 | |
| (209) 558-8611 |
| Full Name | Stanislaus County Health Services Agency |
|---|---|
| Speciality | Clinic/Center |
| Location | 830 Scenic Dr, Modesto, California |
| Authorized Official Name and Position | Mary Ann Lee (MANAGING DIRECTOR) |
| Authorized Official Contact | 2095587163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanislaus County Health Services Agency 830 Scenic Dr Modesto, Ca Suite B Modesto CA 95350-6131 Ph: (209) 558-7000 | Stanislaus County Health Services Agency 830 Scenic Dr Modesto, Ca Suite B Modesto CA 95350-6131 Ph: (209) 558-7000 |
| NPI Number | 1629094891 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 10/03/2024 |
| Medicare PECOS PAC ID | 0648183996 |
|---|---|
| Medicare Enrollment ID | O20040903000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629094891 | NPI | - | NPPES |
| CMM70751F | Other | CA | MEDICAL PROVIDER NUMBER |
| LAB10463F | Other | CA | MEDICAL |
| CMM70760F | Other | CA | MEDICAL PROVIDER NUMBER |
| GR0081280 | Other | CA | MEDICAL GROUP PROVIDER N. |
| RHM18531F | Other | CA | MEDICAL PROVIDER NUMBER |
| HAP18531F | Other | CA | MEDICAL |
| CE0652 | Other | MEDICARE RAILROAD | |
| CMM70753F | Other | CA | MEDICAL PROVIDER NUMBER |
| CMM70762F | Other | CA | MEDICAL PROVIDER NUMBER |
| BCP18531F | Other | CA | BCEDP |
| CMM70759F | Other | CA | MEDICAL PROVIDER NUMBER |
| ZZR11501F | Other | CA | MEDICAL PROVIDER NUMBER |
| CMM70757F | Other | CA | MEDICAL PROVIDER NUMBER |
| CMM70758F | Other | CA | MEDICAL PROVIDER NUMBER |
| EXE70074F | Other | CA | MEDICAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Joy L Farley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194807289 PECOS PAC ID: 5496721102 Enrollment ID: I20040903000568 |
| Provider Name | Andres A Arellano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306917430 PECOS PAC ID: 5890774491 Enrollment ID: I20070913000566 |
| Provider Name | John A Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285714386 PECOS PAC ID: 3577659697 Enrollment ID: I20111215000925 |
| Provider Name | Julie K Vaishampayan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346401080 PECOS PAC ID: 0345317269 Enrollment ID: I20150511002400 |
| Provider Name | Theognosia Papasozomenos |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1346400348 PECOS PAC ID: 7517206691 Enrollment ID: I20190307001528 |
| Provider Name | Vanessa E Lopez Asaah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447682836 PECOS PAC ID: 7810439023 Enrollment ID: I20240603003957 |
Tushar R. Modi, M.d. Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 413 E Orangeburg Ave Ste A, Modesto, CA 95350 Phone: 209-529-9600 Fax: 209-544-2620 | |
Golden Valley Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1510 Florida Ave, Suite B, Modesto, CA 95350 Phone: 209-549-7090 Fax: 209-549-7099 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1114 6th St, Modesto, CA 95354 Phone: 209-576-2845 Fax: 209-384-3966 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Hammond St, Modesto, CA 95351 Phone: 209-576-4437 Fax: 209-384-3966 | |
Greater Modesto Medical Surgical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3125 Conant Ave, Modesto, CA 95350 Phone: 209-214-7053 Fax: 209-523-0764 | |
Gettysburg Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Coffee Rd, Building 10, Modesto, CA 95355 Phone: 209-725-2060 Fax: 209-725-2072 | |
Keith Leibowitz M.d. A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 Park Ave, Modesto, CA 95354 Phone: 757-645-7079 |