NPIMap

Organization Active NPI

Stanislaus County

  • Exclusive Provider Organization
  • Modesto, CA
National Provider Identifier
1174877823
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
STANISLAUS COUNTY
Practice address
1208 9TH St
Modesto, CA 95354-0713
Phone
(209) 558-4464
NPI assigned
Nov 2, 2012
Last updated
Nov 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Ms. Daphine Lamb-Perrilliat
Title
BHS II
Phone
(209) 558-4464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

1208 9TH St
Modesto, CA 95354-0713

Mailing address

1010 10TH St
Modesto, CA 95354-0859

National Provider Directory

National Provider Directory
Tax ID family
Stanislaus County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1010 10th St
Modesto, CA 95354

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1174877823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 10TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 9TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540713",
            "telephone_number": "209-558-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANISLAUS COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "LAMB-PERRILLIAT",
        "authorized_official_first_name": "DAPHINE",
        "authorized_official_title_or_position": "BHS II",
        "authorized_official_telephone_number": "209-558-4464",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "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 Nov 2, 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.