NPIMap

Organization Active NPI

Pete Herron

  • Case Management Agency
  • Modesto, CA
National Provider Identifier
1720117971
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
1234567 Issued in CA
Legal business name
PETE HERRON
Practice address
1812 Laurel Oak Dr
Modesto, CA 95354-1625
Phone
(209) 558-8145
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Pete Herron
Title
Mfti
Phone
(209) 558-8145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 1234567 CA Primary

Addresses

Primary practice location

1812 Laurel Oak Dr
Modesto, CA 95354-1625

Mailing address

1812 Laurel Oak Dr
Modesto, CA 95354-1625
Phone (209) 558-8145

National Provider Directory

National Provider Directory
Tax ID family
Community Care Services456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720117971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 LAUREL OAK DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541625",
            "telephone_number": "209-558-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 LAUREL OAK DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541625",
            "telephone_number": "209-558-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETE HERRON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "MFTI",
        "authorized_official_telephone_number": "209-558-8145",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "1234567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.