Organization Active NPI

Omega Health Clinics

Doing business as Omega Health & NP Services

  • Infusion Therapy Clinic/Center
  • Modesto, CA
National Provider Identifier
1710648928
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
OMEGA HEALTH CLINICS
Doing business as
Omega Health & NP Services
Practice address
2909 Coffee Rd Ste 12B
Modesto, CA 95355-1751
Phone
(209) 554-4181
NPI assigned
Jan 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Nandeesh VeerappaNPI 1508834938
Title
Medical Director
Phone
(209) 554-4181

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

2909 Coffee Rd Ste 12B
Modesto, CA 95355-1751

Mailing address

PO Box 576810
Modesto, CA 95357-6810
Phone (209) 252-6676

Other names 1

  • Omega Health & NP Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230330001188 CA Part B Supplier - Clinic/Group Practice 5597139774 Receives reassigned benefits from 2 practitioners
Practice locations: Modesto, CA

National Provider Directory

National Provider Directory

Locations

2909 Coffee Rd
Ste 12B
Modesto, CA 95355
Phone (209) 554-4181

2909 Coffee Rd
Ste 12
Modesto, CA 95355
Phone (209) 484-0951

Practitioners & affiliated clinicians

Practitioners 2

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": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1710648928",
    "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": "209-252-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 COFFEE RD STE 12B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551751",
            "telephone_number": "209-554-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA HEALTH CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "VEERAPPA",
        "authorized_official_first_name": "NANDEESH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "209-554-4181"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omega Health & NP Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Omega Health & NP Services",
            "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 Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.