NPIMap

Individual provider Active NPI

Annie Vang Machado

  • Social Worker
  • Ceres, CA
National Provider Identifier
1407529159
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
101007 Issued in CA
Practice address
3212 Uranus Dr
Ceres, CA 95307-3010
Phone
(209) 531-2088
NPI assigned
Jul 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Social Worker 104100000X 101007 CA Primary

Addresses

Primary practice location

3212 Uranus Dr
Ceres, CA 95307-3010

Mailing address

2935 4TH St
Ceres, CA 95307-3222
Phone (209) 531-2088

Other practice location 1

2528 Leslie Ln
Ceres, CA 95307-2326
Phone (209) 531-2088

Other practice location 2

1708 Banyan Ct
Ceres, CA 95307-1907
Phone (209) 531-2088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Family Systems CurrentSince Dec 21, 2025 Accepting new patients
Elite Family Systems CurrentSince Dec 21, 2025 Accepting new patients
County of Stanislaus PastSince Aug 1, 2021 Accepting new patients
Elite Family Systems PastSince Apr 11, 2021 Accepting new patients
Turning Point Community Programs PastSince Nov 30, 2025 Accepting new patients
Elite Family Systems PastSince Apr 11, 2021 Accepting new patients

Locations

2935 4th St
Ceres, CA 95307
Phone (209) 531-0888

Organizations & group practices 6

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": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1407529159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 4TH ST",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953073222",
            "telephone_number": "209-531-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 URANUS DR",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953073010",
            "telephone_number": "209-531-2088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2528 Leslie Ln",
            "address_purpose": "LOCATION",
            "city": "Ceres",
            "state": "CA",
            "postal_code": "953072326",
            "country_code": "US",
            "telephone_number": "209-531-2088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1708 Banyan Ct",
            "address_purpose": "LOCATION",
            "city": "Ceres",
            "state": "CA",
            "postal_code": "953071907",
            "country_code": "US",
            "telephone_number": "209-531-2088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACHADO",
        "first_name": "ANNIE",
        "middle_name": "VANG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "101007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ceres, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.