Modesto Gospel Mission

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

MODESTO GOSPEL MISSION

Practice address

1400 Yosemite Blvd
Modesto, CA 95354-2840

Phone

(209) 529-8259

NPI assigned

Nov 7, 2022

Last updated

Jul 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Allen Conway

Title

Ceo

Phone

(209) 225-2905

Specialties & licenses 6

Addresses

Locations

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1720796907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1203",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953531203",
            "telephone_number": "529-225-2905",
            "fax_number": "209-529-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 YOSEMITE BLVD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542840",
            "telephone_number": "209-529-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODESTO GOSPEL MISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-225-2905"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modesto Dermatology and Skin Cancer PC
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• Modesto Eye Center Inc
• Modesto Fire Department
• Modesto Gastroenterology Medical Corporation
• Modesto Hearing Aid Center
• Modesto Kidney Center, Inc.
• Modesto Kidney Center, LLC (U.S. Renal Care Modesto Dialysis)
• Modesto Kidney Medical Group
• Modesto Mental Health Consultants Inc a Professional Medical Corp

• Lodging Provider in Modesto, CA
• Providers in Modesto, CA by specialty
• Lodging Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.