PREMISE HEALTH OF CALIFORNIA MEDICAL PC
NPI 1093390031
Clinic/Center - Primary Care in Modesto, CA

Active since March 11, 2021
2316 NICKERSON DR STE B, MODESTO, CA 95358(209) 554-4402(209) 551-6690 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2026, Aug 19, 2022, Mar 11, 2021 (3 updates tracked since 2021).

About Premise Health Of California Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMISE HEALTH OF CALIFORNIA MEDICAL PC (NPI 1093390031), doing business as Dot Modesto Family Health Center, is a healthcare organization registered as a primary care in Modesto, California and active in the NPI registry since March 2021. The organization lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1093390031
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePREMISE HEALTH OF CALIFORNIA MEDICAL PC
Location Address2316 NICKERSON DR STE BModesto, CA 95358-9483
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Fax(209) 551-6690
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateMarch 11, 2021
Last NPPES UpdateFebruary 2, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
NPI 1093390031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2316 NICKERSON DR STE B, Modesto, CA 95358

Other Names 1

Doing Business AsDot Modesto Family Health Center

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premise Health Of California Medical PC's NPI number?

The NPI number for Premise Health Of California Medical PC is 1093390031. It was assigned to this organization in the NPPES registry on March 11, 2021. The provider is doing business as Dot Modesto Family Health Center.

Where is Premise Health Of California Medical PC located?

Premise Health Of California Medical PC is located at 2316 Nickerson Dr Ste B, Modesto, CA 95358. The listed phone number is (209) 554-4402.

What is Premise Health Of California Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Premise Health Of California Medical PC was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.