Organization Active NPI

Disability Resource Agency for Independent Living

  • Case Management Agency
  • Modesto, CA
National Provider Identifier
1114222874
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DISABILITY RESOURCE AGENCY FOR INDEPENDENT LIVING
Practice address
920 12TH St
Modesto, CA 95354-2320
Phone
(209) 521-7260
Fax
(209) 521-4763
NPI assigned
Jan 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Mr. Terry D. Plett
Title
Executive Director
Phone
(209) 521-7260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

920 12TH St
Modesto, CA 95354-2320

Mailing address

920 12TH St
Modesto, CA 95354-2320
Phone (209) 521-7260

National Provider Directory

National Provider Directory

Locations

920 12th St
Modesto, CA 95354
Phone (209) 521-7260

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1114222874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 12TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542320",
            "telephone_number": "209-521-7260",
            "fax_number": "209-521-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 12TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542320",
            "telephone_number": "209-521-7260",
            "fax_number": "209-521-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISABILITY RESOURCE AGENCY FOR INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "PLETT",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-521-7260",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 11, 2011; 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.