Family Practice Health and Wellness Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G77641 Issued in CA

Legal business name

FAMILY PRACTICE HEALTH AND WELLNESS MEDICAL GROUP INC

Practice address

2020 Standiford Ave
D3
Modesto, CA 95350-6529

Phone

(209) 575-4990

Fax

(209) 575-4996

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kathy Ann Christopher, M.D.NPI 1487668273

Title

Staff MD

Phone

(209) 575-4990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Family Practice Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Family Practice Health and Wellness, Inc

  • Non-Pharmacy Dispensing Site
  • Modesto, CA
  • NPI 1164754347
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathy Ann Christopher, M.D.

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1487668273
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1457552960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 STANDIFORD AVE",
            "address_2": "D3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506529",
            "telephone_number": "209-575-4990",
            "fax_number": "209-575-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 STANDIFORD AVE",
            "address_2": "D3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506529",
            "telephone_number": "209-575-4990",
            "fax_number": "209-575-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE HEALTH AND WELLNESS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2017-11-01",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "STAFF MD",
        "authorized_official_telephone_number": "209-575-4990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G77641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family First Medical Care a Professional Corporation
• Family Friendly Psychological Group, P.C.
• Family Health Care Medical Group of Modesto a Professional Corp
• Family Planning Associates Medical Group Inc
• Family Planning Associates Medical Group Inc
• Family Practice Health and Wellness, Inc
• Family Vision Care Optometry of Modesto
• Danielle Fanelli, HS DIPLOMA
• Cheyenne Fang
• Meng Fang

• Family Medicine Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.