NPIMap

Organization Active NPI

County of Stanislaus

  • State or Local Public Health Clinic/Center
  • Modesto, CA
National Provider Identifier
1164745840
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
COUNTY OF STANISLAUS
Practice address
1524 McHenry Ave Ste 300
Modesto, CA 95350-4570
Phone
(209) 558-7700
Fax
(209) 558-8184
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Heather Duvall
Title
Managing Director
Phone
(209) 558-7163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

1524 McHenry Ave Ste 300
Modesto, CA 95350-4570

Mailing address

917 Oakdale Rd
Modesto, CA 95355-4593
Phone (209) 558-7700

Other practice location 1

917 Oakdale Rd
Modesto, CA 95355-4593
Phone (209) 558-7700

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ25973ZOtherCAMEDICARE PTAN

Other names 2

  • County of Stanislaus Public Health Department Doing business as
  • Stanislaus County Health Services Agency Public Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241008000657 CA Part B Supplier - Clinic/Group Practice 0648183996 Practice locations: Modesto, CA

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1014361Stanislaus County Public Health1524 McHenry Ave Ste 300, Modesto, CA 95350Certificate of waiverJul 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Scenic Medical Group113 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

820 Scenic Dr
Modesto, CA 95350
Phone (209) 558-7000

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Stanislaus County Health Services Agency Family & Pediatric Health CenModesto, CA, CCN 051122 Federally qualified health center Operational/Managerial Control Sep 20, 2007
Stanislaus County Health Services Agency McHenry Medical OfficeModesto, CA, CCN 051121 Federally qualified health center Operational/Managerial Control Sep 20, 2007
Stanislaus County Health Services Agency Paradise Medical OfficeModesto, CA, CCN 051117 Federally qualified health center Operational/Managerial Control Sep 20, 2007

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1164745840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 OAKDALE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554593",
            "telephone_number": "209-558-7700",
            "fax_number": "209-558-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 MCHENRY AVE STE 300",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504570",
            "telephone_number": "209-558-7700",
            "fax_number": "209-558-8184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "917 Oakdale Rd",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953554593",
            "country_code": "US",
            "telephone_number": "209-558-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNTY OF STANISLAUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "DUVALL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "209-558-7163"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ZZZ25973Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "County of Stanislaus Public Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stanislaus County Health Services Agency Public Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.