NPIMap

Organization Active NPI

Yosemite Community College District

Doing business as Modesto Junior College

  • Local Education Agency (LEA)
  • Modesto, CA
National Provider Identifier
1750813663
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
YOSEMITE COMMUNITY COLLEGE DISTRICT
Doing business as
Modesto Junior College
Practice address
435 College Ave
Modesto, CA 95350-5808
Phone
(209) 575-6550
NPI assigned
Mar 30, 2017
Organization subpart
Yes
Parent organization
YOSEMITE COMMUNITY COLLEGE DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Authorized official

Name
Teresa Scott
Title
Executive Vice Chancellor
Phone
(209) 575-6351

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary
Student Health Clinic/Center 261QS1000X

Addresses

Primary practice location

435 College Ave
Modesto, CA 95350-5808

Mailing address

435 College Ave
Health Services
Modesto, CA 95350-5808
Phone (209) 575-6550

Other names 2

  • Modesto Junior College Doing business as
  • Student Health Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Yosemite Community College District2 organizations share this tax ID, including this one
Part of
Yosemite Community College District

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

435 College Ave
Modesto, CA 95350
Phone (209) 284-6902

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1750813663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 COLLEGE AVE",
            "address_2": "HEALTH SERVICES",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505808",
            "telephone_number": "209-575-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 COLLEGE AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505808",
            "telephone_number": "209-575-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOSEMITE COMMUNITY COLLEGE DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOSEMITE COMMUNITY COLLEGE DISTRICT",
        "enumeration_date": "2017-03-30",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "EXECUTIVE VICE CHANCELLOR",
        "authorized_official_telephone_number": "209-575-6351"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modesto Junior College",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Student Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 22, 2021; 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.