Active NPI
County of Stanislaus
- Community/Behavioral Health Agency
- Modesto, CA
National Provider Identifier
1831228022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- COUNTY OF STANISLAUS
- Practice address
- 101 Park Ave
Modesto, CA 95354-0556 - Phone
- (209) 558-7494
- NPI assigned
- Mar 5, 2007
- Last updated
- May 13, 2026
- Organization subpart
- Yes
- Parent organization
- COUNTY OF STANISLAUS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruben Imperial, MBA
- Title
- Behavioral Health Director
- Phone
- (209) 525-6225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
101 Park Ave
Modesto, CA 95354-0556
Mailing address
1601 I St., Ste. 200, 2ND FL.
Modesto, CA 95354-1110
Phone (209) 525-6225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50AB | Medicaid | CA |
Other names 1
- Medication Clinic - Child
National Provider Directory
National Provider Directory- Tax ID family
- Stanislaus Medical Cent
- Part of
- Stanislaus Medical Cent
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.
-
dba Health Services Agency ECM
- Case Management Agency
- Modesto, CA
- NPI 1780471938
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1831227974
-
dba Stanislaus County Behavioral Health and Recovery Services
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1831227990
-
dba Behavioral Health Wellness Center
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1851287767
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1902765993
-
- Public Health or Welfare Agency
- Modesto, CA
- NPI 1841527363
-
- Pharmacist
- Modesto, CA
- NPI 1821205162
-
- Community/Behavioral Health Agency
- Oakdale, CA
- NPI 1770616575
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1770616088
-
- Community/Behavioral Health Agency
- Turlock, CA
- NPI 1770616674
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1790818821
-
- Community/Behavioral Health Agency
- Sacramento, CA
- NPI 1811020308
Locations
421 E Morris Ave
Bldg A
Modesto, CA 95354
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": "1778630400000",
"number": "1831228022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 I ST., STE. 200, 2ND FL.",
"city": "MODESTO",
"state": "CA",
"postal_code": "953541110",
"telephone_number": "209-525-6225",
"fax_number": "209-558-4326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PARK AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953540556",
"telephone_number": "209-558-7494"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF STANISLAUS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COUNTY OF STANISLAUS",
"enumeration_date": "2007-03-05",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A",
"authorized_official_last_name": "IMPERIAL",
"authorized_official_first_name": "RUBEN",
"authorized_official_title_or_position": "BEHAVIORAL HEALTH DIRECTOR",
"authorized_official_telephone_number": "209-525-6225",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50AB",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medication Clinic - Child",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Modesto, CA
- County of Stanislaus
- County of Stanislaus
- County of Stanislaus (Health Services Agency ECM)
- County of Stanislaus
- County of Stanislaus (Stanislaus County Behavioral Health and Recovery Services)
- County of Stanislaus (Behavioral Health Wellness Center)
- County of Stanislaus
- County of Stanislaus (Stanislaus County Health Services Agency Pediatrics Center)
- County of Stanislaus
- County of Stanislaus
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.