NPIMap

Organization Active NPI

Aspen Family Medical Group of Modesto, Inc.

  • Urgent Care Clinic/Center
  • Modesto, CA
National Provider Identifier
1497531719
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ASPEN FAMILY MEDICAL GROUP OF MODESTO, INC.
Practice address
1130 Coffee Rd Ste 10
Modesto, CA 95355-4228
Phone
(209) 522-9054
Fax
(209) 550-5898
NPI assigned
Sep 1, 2023
Last updated
May 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Mariela Gutierrez, MEDICAL ASSISTANT
Title
Clinic Supervisor
Phone
(209) 522-9054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1130 Coffee Rd Ste 10
Modesto, CA 95355-4228

Mailing address

1130 Coffee Rd Ste 10
Modesto, CA 95355-4228

National Provider Directory

National Provider Directory
Tax ID family
Aspen Family Medical Group of Modesto Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1497531719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 COFFEE RD STE 10",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 COFFEE RD STE 10",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554228",
            "telephone_number": "209-522-9054",
            "fax_number": "209-550-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN FAMILY MEDICAL GROUP OF MODESTO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "MARIELA",
        "authorized_official_title_or_position": "CLINIC SUPERVISOR",
        "authorized_official_telephone_number": "209-522-9054",
        "authorized_official_credential": "MEDICAL ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "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 May 2, 2024; 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.