Individual provider Active NPI

Evangelina A Talaro

  • Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1700608122
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
315209 Issued in AZ
Practice address
1317 Oakdale Rd Ste 100
Modesto, CA 95355-3362
Phone
(209) 522-3662
Fax
(209) 522-3362
NPI assigned
Oct 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 315209 AZ Primary

Addresses

Primary practice location

1317 Oakdale Rd Ste 100
Modesto, CA 95355-3362

Mailing address

1317 Oakdale Rd Ste 440
Modesto, CA 95355-3364
Phone (209) 522-3662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109002736 CA Practitioner - Nurse Practitioner 8224566898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1317 Oakdale Rd
Suite 100
Modesto, CA 95355-3362
Phone (209) 522-3362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
315209AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Medical Care a Professional Corporation CurrentSince Dec 1, 2024 Accepting new patients
Family First Medical Care a Professional Corporation CurrentSince Dec 1, 2024 Accepting new patients

Locations

1317 Oakdale Rd
Ste 100
Modesto, CA 95355
Phone (209) 522-3362

1317 Oakdale Rd
Ste 440
Modesto, CA 95355
Phone (209) 522-3362

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1700608122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 OAKDALE RD STE 440",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553364",
            "telephone_number": "209-522-3662",
            "fax_number": "209-522-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 OAKDALE RD STE 100",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553362",
            "telephone_number": "209-522-3662",
            "fax_number": "209-522-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALARO",
        "first_name": "EVANGELINA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "315209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.