Yolanda King, AA

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-JNPQHE Issued in CA

Practice address

1620 Cummins Dr
Modesto, CA 95358-6400

Phone

(209) 622-1420

Fax

(209) 491-0627

NPI assigned

Aug 23, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Yolanda Alvarez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Arts

State licenses

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1659651636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 CUMMINS DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953586400",
            "telephone_number": "209-622-1420",
            "fax_number": "209-491-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 CUMMINS DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953586400",
            "telephone_number": "209-622-1420",
            "fax_number": "209-491-0627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Tully Rd",
            "address_2": "A2",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953502946",
            "country_code": "US",
            "telephone_number": "209-622-1420 x8136",
            "fax_number": "209-491-0627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "YOLANDA",
        "credential": "AA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-JNPQHE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOLANDA",
            "last_name": "ALVAREZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Regina Ann King
• Tina Marie King
• Trina Louise King, LCSW
• Veronica L. King, LVN
• Wendie D King, RN
• Laura Kinkade, NP
• Nathanial Matthew Kinney
• Corbin Michael Kinser, DDS
• Aimee Anne Kinsfater, CMT
• Wesley E Kinzie, MD

• Peer Specialist in Modesto, CA
• Providers in Modesto, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.