NPIMap

Organization Active NPI

County of Stanislaus

  • Community/Behavioral Health Agency
  • Modesto, CA
National Provider Identifier
1891906392
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COUNTY OF STANISLAUS
Practice address
500 N 9TH St Ste C
Modesto, CA 95350-5814
Phone
(209) 558-4812
NPI assigned
May 25, 2007
Last updated
May 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF STANISLAUSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2026

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

500 N 9TH St Ste C
Modesto, CA 95350-5814

Mailing address

1601 I St., Ste. 200, 2ND FL.
Modesto, CA 95354-1110
Phone (209) 525-6225

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ31213ZOtherMEDICARE ID
50AXMedicaidCA

Other names 1

  • BHRS Adult Assessment Team Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041108000570 CA Part B Supplier - Clinic/Group Practice 0648183996 Receives reassigned benefits from 36 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ceres, CA; Modesto, CA; Turlock, CA

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Stanislaus Medical Cent

Locations

500 N 9th St
Ste B
Modesto, CA 95350
Phone (209) 341-1824

500 N 9th St
Ste C
Modesto, CA 95350
Phone (209) 552-2720

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1891906392",
    "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": "500 N 9TH ST STE C",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505814",
            "telephone_number": "209-558-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF STANISLAUS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF STANISLAUS",
        "enumeration_date": "2007-05-25",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ZZZ31213Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50AX",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHRS Adult Assessment Team",
            "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 May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.