Active NPI
Lijian Nafarrete Bacud, BS
- Student in an Organized Health Care Education/Training Program
- Modesto, CA
National Provider Identifier
1053199851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 920 16TH St Ste B
Modesto, CA 95354-1119 - Phone
- (209) 558-4595
- NPI assigned
- Sep 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
920 16TH St Ste B
Modesto, CA 95354-1119
Mailing address
920 16TH St Ste B
Modesto, CA 95354-1119
Phone (209) 558-4595
Other practice location 1
2630 W Rumble Rd
Modesto, CA 95350-0155
Phone (209) 222-2378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1053199851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 16TH ST STE B",
"city": "MODESTO",
"state": "CA",
"postal_code": "953541119",
"telephone_number": "209-558-4595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 16TH ST STE B",
"city": "MODESTO",
"state": "CA",
"postal_code": "953541119",
"telephone_number": "209-558-4595"
}
],
"practiceLocations": [
{
"address_1": "2630 W Rumble Rd",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953500155",
"country_code": "US",
"telephone_number": "209-222-2378",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BACUD",
"first_name": "LIJIAN",
"middle_name": "NAFARRETE",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-21",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.