GBC Modesto, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GBC MODESTO, LLC

Practice address

3600 Sisk Rd
Modesto, CA 95356-0535

Phone

(877) 828-8476

Fax

(877) 252-3970

NPI assigned

Jan 2, 2025

Organization subpart

No

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

Authorized official

Name

Linda Yousef

Title

Coo

Phone

(877) 828-8476

Specialties & licenses 1

Addresses

Other names 1

• Genesis Behavior Center, Modesto Doing business as

Locations

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1508675729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 N WALNUT RD",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953829528",
            "telephone_number": "209-604-5969",
            "fax_number": "877-252-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 SISK RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953560535",
            "telephone_number": "877-828-8476",
            "fax_number": "877-252-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GBC MODESTO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "YOUSEF",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "877-828-8476"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Behavior Center, Modesto",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Vernon Gay, SUDCC
• Alfred Charles Gaymon, M.D.
• Crystal Gaytan
• Sofia Gazyeva
• Boakai Gbanyan
• Yuqiang Ge, M.D., PHD
• Halley Gearheard
• Ermias Gebregziabher
• Corrin Geibig, R.N.
• Genesis

• Clinic/Center in Modesto, CA
• Providers in Modesto, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.