Active NPI
Abidali Professional Medical Inc
- Urgent Care Clinic/Center
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- ABIDALI PROFESSIONAL MEDICAL INC
- Practice address
- 2001 McHenry Ave Ste L
Modesto, CA 95350-3253 - Phone
- (480) 251-4030
- NPI assigned
- Oct 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Moustapha Abidali, DO
- Title
- Owner
- Phone
- (480) 251-4030
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
2001 McHenry Ave Ste L
Modesto, CA 95350-3253
Mailing address
1285 Kendra LN
Upland, CA 91784-9269
Other names 1
- AFC Urgent Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250327000327 | CA | Part B Supplier - Clinic/Group Practice | 4486177748 |
Receives reassigned benefits from 9 practitioners Practice locations: Modesto, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2319625 | Abidali Professional Medical Inc | Certificate of waiver | Mar 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
3848 McHenry Ave
Ste 135
Modesto, CA 95356
Phone (769) 279-9136
3848 McHenry Ave
Ste L
Modesto, CA 95356
12223 Highland Ave
Ste 106605
Rancho Cucamonga, CA 91739
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Rancho Cucamonga, CA
- NPI 1205274768
CA, Single Specialty
-
- Family Medicine Physician
- Santa Clara, CA
- NPI 1710313259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736899200000",
"number": "1962224824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1285 KENDRA LN",
"city": "UPLAND",
"state": "CA",
"postal_code": "917849269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 MCHENRY AVE STE L",
"city": "MODESTO",
"state": "CA",
"postal_code": "953503253",
"telephone_number": "480-251-4030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABIDALI PROFESSIONAL MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-30",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A",
"authorized_official_last_name": "ABIDALI",
"authorized_official_first_name": "MOUSTAPHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-251-4030",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AFC Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.