Organization Active NPI

Access Wellness Services

Doing business as Access Wellness Healthcare

  • Family Medicine Physician
  • Modesto, CA
National Provider Identifier
1104393362
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ACCESS WELLNESS SERVICES
Doing business as
Access Wellness Healthcare
Practice address
2209 Coffee Rd Ste I
Modesto, CA 95355-2360
Phone
(209) 526-6400
Fax
(209) 526-6425
NPI assigned
Oct 25, 2018
Last updated
May 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Belinda Williamson
Title
Practice Administrator
Phone
(209) 526-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2209 Coffee Rd Ste I
Modesto, CA 95355-2360

Mailing address

2209 Coffee Rd Ste I
Modesto, CA 95355-2360
Phone (209) 526-6400

Other names 1

  • ACCESS WELLNESS HEALTHCARE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1104393362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 COFFEE RD STE I",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552360",
            "telephone_number": "209-526-6400",
            "fax_number": "209-526-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 COFFEE RD STE I",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552360",
            "telephone_number": "209-526-6400",
            "fax_number": "209-526-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS WELLNESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "209-526-6400"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCESS WELLNESS HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACCESS WELLNESS HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.