Active NPI
Elite First Health
- Primary Care Clinic/Center
- Modesto, CA
National Provider Identifier
1710333976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 21215
- Legal business name
- ELITE FIRST HEALTH
- Doing business as
- First Elite Health
- Practice address
- 3121 Yosemite Blvd Ste D2
Modesto, CA 95354 - Phone
- (206) 566-9366
- NPI assigned
- May 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Gifty Aidoo, FNP-C
- Title
- Family Nurse Practioner
- Phone
- (209) 484-0951
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 21215 | CA | Primary |
Addresses
Primary practice location
3121 Yosemite Blvd Ste D2
Modesto, CA 95354
Mailing address
PO Box 576810
Modesto, CA 95357-6810
Phone (209) 484-0951
Other names 1
- First Elite Health
National Provider Directory
National Provider DirectoryLocations
3121 Yosemite Blvd
Ste D2
Modesto, CA 95354
Phone (206) 566-9366
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Modesto, CA
- NPI 1376883256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526860800000",
"number": "1710333976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 576810",
"city": "MODESTO",
"state": "CA",
"postal_code": "953576810",
"telephone_number": "209-484-0951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 YOSEMITE BLVD STE D2",
"city": "MODESTO",
"state": "CA",
"postal_code": "95354",
"telephone_number": "206-566-9366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE FIRST HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-06",
"last_updated": "2018-05-21",
"status": "A",
"authorized_official_last_name": "AIDOO",
"authorized_official_first_name": "GIFTY",
"authorized_official_title_or_position": "FAMILY NURSE PRACTIONER",
"authorized_official_telephone_number": "209-484-0951",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": "21215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "First Elite Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.