NESREN ANTON AZER ANTON NP
NPI 1316504541
Nurse Practitioner - Primary Care in Modesto, CA

Active since May 22, 2019
3509 COFFEE RD, MODESTO, CA 95355(510) 736-9104 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 27, 2021, Apr 2, 2020, May 22, 2019 (3 updates tracked since 2019).

About Nesren Anton Azer Anton Np NPPES

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

NESREN ANTON AZER ANTON NP (NPI 1316504541) is an individual primary care provider in Modesto, California, licensed in California (95011844) and active in the NPI registry since May 2019. She maintains a secondary practice location in Mountain House.

NPPES Registry Identity

NPI1316504541
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameNESREN ANTON AZER ANTONCredential: NP
Location Address3509 COFFEE RDModesto, CA 95355-1356
Mailing Address582 E Harding WayStockton, CA 95204-6110 · (510) 736-9104
Sole ProprietorYes
Enumeration DateMay 22, 2019
Last NPPES UpdateAugust 27, 20213 updates tracked since enumeration
NPPES CertifiedAugust 27, 2021
NPI 1316504541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in CA · 95011844
3509 COFFEE RD, Modesto, CA 95355

Secondary Practice Location 1

Location 1922 S Tupper CtMountain House, CA 95391-1426 · Phone (510) 736-9104

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
3509 COFFEE RD
MODESTO, CA 95355
Nurse Practitioner (Family)
3509 COFFEE RD, STE D3
MODESTO, CA 95355
Nurse Practitioner (Primary Care)
3509 COFFEE RD
MODESTO, CA 95355
Psychiatry & Neurology (Psychiatry)
3509 COFFEE RD, STE D18
MODESTO, CA 95355
Clinic/Center
3509 COFFEE RD
MODESTO, CA 95355

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 Nesren Anton's NPI number?

The NPI number for Nesren Anton is 1316504541. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Where is Nesren Anton located?

Nesren Anton practices at 3509 Coffee Rd, Modesto, CA 95355. The listed phone number is (510) 736-9104.

What is Nesren Anton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Nesren Anton was last updated on August 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.