Individual provider Active NPI

Deborah Jane Babb, N.P.

  • Family Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1285904086
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14854 Issued in CA
Practice address
4335 Northstar Way BLDG a
Modesto, CA 95356-8624
Phone
(209) 342-5125
Fax
(209) 342-5128
NPI assigned
Jan 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14854 CA Primary

Addresses

Primary practice location

4335 Northstar Way BLDG a
Modesto, CA 95356-8624

Mailing address

4335-A Northstar Way
Modesto, CA 95356-8624
Phone (209) 342-5125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130620000277 CA Practitioner - Nurse Practitioner 8527167816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Wound Healing Center IncGroup PAC ID 2365541653, 3 clinicians

Practice addresses (Care Compare)

4335 -A N Star Way
Modesto, CA 95356-8628
Phone (209) 342-5125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14854CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Wound Healing Center, Inc. CurrentSince Jun 15, 2013 Accepting new patients

Locations

4335 N Star Way
Ste A
Modesto, CA 95356
Phone (209) 342-5125

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1285904086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4335-A NORTHSTAR WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568624",
            "telephone_number": "209-342-5125",
            "fax_number": "209-342-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4335 NORTHSTAR WAY BLDG A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568624",
            "telephone_number": "209-342-5125",
            "fax_number": "209-342-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABB",
        "first_name": "DEBORAH",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "14854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.