NPIMap

Organization Active NPI

Family Practice Health and Wellness, Inc

  • Non-Pharmacy Dispensing Site
  • Modesto, CA
National Provider Identifier
1164754347
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
FAMILY PRACTICE HEALTH AND WELLNESS, INC
Practice address
2020 Standiford Ave
BLD D Suite D1
Modesto, CA 95350-6529
Phone
(209) 575-4990
NPI assigned
Feb 12, 2010
Last updated
Mar 28, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY PRACTICE HEALTH AND WELLNESS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Dr. Kathy Christopher, M.D.NPI 1487668273
Title
Medical Director
Phone
(209) 575-4990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

2020 Standiford Ave
BLD D Suite D1
Modesto, CA 95350-6529

Mailing address

2980 N Beverly Glen Cir Ste 100
Los Angeles, CA 90077-1728
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Tax ID family
Family Practice Health2 organizations share this tax ID, including this one
Part of
Family Practice Health

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2020 Standiford Ave
Ste D1
Modesto, CA 95350
Phone (209) 575-4990

Practitioners & affiliated clinicians

Practitioners 1

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": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1164754347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771728",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 STANDIFORD AVE",
            "address_2": "BLD D SUITE D1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506529",
            "telephone_number": "209-575-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE HEALTH AND WELLNESS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY PRACTICE HEALTH AND WELLNESS, INC",
        "enumeration_date": "2010-02-12",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "209-575-4990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "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 Mar 28, 2012; 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.