NPIMap

County of Stanislaus

Organization Active NPI Community/Behavioral Health Agency · Modesto, CA

NPI 1902765993 · NPPES record last updated Jul 30, 2026

Key facts

NPI
1902765993
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
COUNTY OF STANISLAUS
Practice address
1001 Needham St
Modesto, CA 95354-0730
Phone
(209) 209-5690
Fax
(209) 529-8519
NPI assigned
Jan 16, 2026
Organization subpart
No

Authorized official

Name
Ruben Imperial, MBA
Title
Behavioral Health Director
Phone
(209) 525-6225

Other NPIs on the same Medicare enrollment 12

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

Corporate family (same tax ID) 19

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

Practitioners 214

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 214

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

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

National Provider Directory

Tax ID family
Scenic Medical Group (113 organizations share this tax ID)

Locations

1917 Memorial Dr
Ste B
Ceres, CA 95307
Phone (209) 541-2474

2412 3rd St
Ste B
Hughson, CA 95326
Phone (209) 558-7250

621 14th St
Ste 3
Modesto, CA 95354
Phone (209) 569-0373

920 12th St
Ste 3
Modesto, CA 95354
Phone (209) 558-4081

190 E Hackett Rd
Modesto, CA 95358
Phone (209) 525-7218

1321 I St
Modesto, CA 95354
Phone (209) 525-6252

1501 Claus Rd
Modesto, CA 95355
Phone (209) 557-6300

303 Downey Ave
Modesto, CA 95354
Phone (209) 525-4920

825 12th St
Modesto, CA 95354
Phone (209) 525-5050

500 9th St
Ste A
Modesto, CA 95354
Phone (209) 558-4610

1301 G St
Modesto, CA 95354
Phone (209) 558-4238

1720 G St
Modesto, CA 95354
Phone (209) 525-5050

830 Scenic Dr
#B
Modesto, CA 95350
Phone (209) 558-7000

900 Scenic Dr
Modesto, CA 95350
Phone (209) 558-4081

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

401 Paradise Rd
Ste E
Modesto, CA 95351
Phone (209) 558-4000

755 S Yosemite Ave
Ste 106
Oakdale, CA 95361
Phone (209) 848-6018

122 S 4th St
Patterson, CA 95363
Phone (209) 892-8787

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

1001 Needham St
Modesto, CA 95354-0730

Mailing address

1001 Needham St
Modesto, CA 95354-0730
Phone (209) 209-5690

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 30, 2026.

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1902765993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NEEDHAM ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540730",
            "telephone_number": "209-209-5690",
            "fax_number": "209-529-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NEEDHAM ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540730",
            "telephone_number": "209-209-5690",
            "fax_number": "209-529-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF STANISLAUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

All providers in Modesto, CA · Community/Behavioral Health Agency in California

Sources for this page

Verify at the official NPI Registry.