Organization Active NPI

Central Valley Functional Restoration Program

  • Multi-Specialty Clinic/Center
  • Modesto, CA
National Provider Identifier
1467992412
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CENTRAL VALLEY FUNCTIONAL RESTORATION PROGRAM
Practice address
2004 McHenry Ave
Ste C
Modesto, CA 95350-3260
Phone
(209) 337-3377
Fax
(209) 729-5353
NPI assigned
Feb 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Authorized official

Name
Dr. Robert Caton, MD
Title
President
Phone
(209) 491-5370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X CA Primary

Addresses

Primary practice location

2004 McHenry Ave
Ste C
Modesto, CA 95350-3260

Mailing address

2004 McHenry Ave
Ste C
Modesto, CA 95350-3260
Phone (209) 337-3377

National Provider Directory

National Provider Directory

Locations

2004 McHenry Ave
Ste C
Modesto, CA 95350
Phone (209) 337-3377

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1467992412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 MCHENRY AVE",
            "address_2": "STE C",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953503260",
            "telephone_number": "209-337-3377",
            "fax_number": "209-729-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 MCHENRY AVE",
            "address_2": "STE C",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953503260",
            "telephone_number": "209-337-3377",
            "fax_number": "209-729-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY FUNCTIONAL RESTORATION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "CATON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-491-5370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "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 Feb 24, 2017; 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.