Active NPI
Mopride
- Community Health Worker
- Modesto, CA
National Provider Identifier
1245077742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 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 DirectoryLocations
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.