NPIMap

Organization Active NPI

Stanislaus County Aging and Veterans Services

  • Community Health Worker
  • Modesto, CA
National Provider Identifier
1407761877
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
STANISLAUS COUNTY AGING AND VETERANS SERVICES
Practice address
3500 Coffee, Rd. Ste. 19
Modesto, CA 95355-1315
Phone
(209) 558-7825
NPI assigned
Aug 18, 2026
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Mr. Jose Reyes Michel Jr., MSW. MA
Title
Director
Phone
(209) 525-4601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X NU Primary

Addresses

Primary practice location

3500 Coffee, Rd. Ste. 19
Modesto, CA 95355-1315

Mailing address

3500 Coffee, Rd. Ste. 19
Modesto, CA 95355-1315
Phone (209) 558-7825

National Provider Directory

National Provider Directory
Tax ID family
Stanislaus Medical Cent113 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

3500 Coffee Rd
Ste 19
Modesto, CA 95355
Phone (209) 480-2101

NPI Registry JSON

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

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1407761877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 COFFEE, RD. STE. 19",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551315",
            "telephone_number": "209-558-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 COFFEE, RD. STE. 19",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551315",
            "telephone_number": "209-558-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANISLAUS COUNTY AGING AND VETERANS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "REYES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "209-525-4601",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MSW. MA"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "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 Aug 18, 2026; 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.