Individual provider Active NPI

Nelu N Lal

  • Family Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1871239699
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95020867 Issued in CA
Practice address
1317 Oakdale Rd Ste 100
Modesto, CA 95355-3362
Phone
(209) 522-3362
NPI assigned
May 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95020867 CA Primary

Addresses

Primary practice location

1317 Oakdale Rd Ste 100
Modesto, CA 95355-3362

Mailing address

2705 New York Ave
Modesto, CA 95355-8741
Phone (209) 505-4054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230124000879 CA Practitioner - Nurse Practitioner 2769853001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family First Medical Care a Professional CorporationGroup PAC ID 8022338854, 17 clinicians

Practice addresses (Care Compare)

1317 Oakdale Rd
Suite 440
Modesto, CA 95355-3364
Phone (209) 522-3362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95020867CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Medical Care a Professional Corporation CurrentSince Oct 5, 2022 Accepting new patients
Family First Medical Care a Professional Corporation CurrentSince Oct 5, 2022 Accepting new patients

Locations

1317 Oakdale Rd
Ste 440
Modesto, CA 95355
Phone (209) 522-3362

1317 Oakdale Rd
Ste 100
Modesto, CA 95355
Phone (209) 522-3362

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1871239699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 NEW YORK AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953558741",
            "telephone_number": "209-505-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 OAKDALE RD STE 100",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553362",
            "telephone_number": "209-522-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAL",
        "first_name": "NELU",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.