Organization Active NPI

Mopride

  • Community Health Worker
  • Modesto, CA
National Provider Identifier
1245077742
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
MOPRIDE
Practice address
400 12TH St Ste 2
Modesto, CA 95354-2410
Phone
(209) 567-2124
NPI assigned
Jul 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Britni Lloyd
Title
Center Manager
Phone
(209) 499-0328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

400 12TH St Ste 2
Modesto, CA 95354-2410

Mailing address

400 12TH St Ste 2
Modesto, CA 95354-2410
Phone (209) 567-2124

National Provider Directory

National Provider Directory

Locations

400 12th St
Ste 2
Modesto, CA 95354
Phone (209) 567-2124

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1245077742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 12TH ST STE 2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542410",
            "telephone_number": "209-567-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 12TH ST STE 2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542410",
            "telephone_number": "209-567-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOPRIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "BRITNI",
        "authorized_official_title_or_position": "CENTER MANAGER",
        "authorized_official_telephone_number": "209-499-0328"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "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 Jul 11, 2024; 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.