West Modesto Community Collaborative

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

WEST MODESTO COMMUNITY COLLABORATIVE

Practice address

529 California Ave
Modesto, CA 95351-2595

Phone

(209) 522-6902

NPI assigned

May 1, 2026

Organization subpart

No

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

Authorized official

Name

Perfecto Munoz, MPH, PHD

Title

Ceo

Phone

(209) 522-6902

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1777593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1790622264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S MARTIN LUTHER KING DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953512762",
            "telephone_number": "209-522-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 CALIFORNIA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953512595",
            "telephone_number": "209-522-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MODESTO COMMUNITY COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "PERFECTO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-522-6902",
        "authorized_official_credential": "MPH, PHD"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Worker in Modesto, CA
• Providers in Modesto, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.