Active NPI
Maurice Dedric Wright II
- Peer Specialist
- Modesto, CA
National Provider Identifier
1992591754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-ANCKUZ
- Practice address
- 1539 McHenry Ave
Modesto, CA 95350-4528 - Phone
- (209) 702-0139
- NPI assigned
- Apr 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MPSS-ANCKUZ | CA | Primary |
Addresses
Primary practice location
1539 McHenry Ave
Modesto, CA 95350-4528
Mailing address
1326 Oakwood Dr
Modesto, CA 95350-4849
Phone (209) 809-8782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1992591754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1326 OAKWOOD DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504849",
"telephone_number": "209-809-8782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1539 MCHENRY AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504528",
"telephone_number": "209-702-0139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "MAURICE",
"middle_name": "DEDRIC",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-17",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-ANCKUZ",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 2, 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.