Organization Active NPI

Elite First Health

  • Primary Care Clinic/Center
  • Modesto, CA
National Provider Identifier
1710333976
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
21215 Issued in CA
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

Updated by the provider on May 21, 2018

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

Authorized official

Name
Mrs. Gifty Aidoo, FNP-CNPI 1376883256
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.