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MRS. CANDI LYNN TUBBS-DAVIDSON
NPI 1346372075
Marriage & Family Therapist in Modesto, CA

Active since March 09, 2007PECOS EnrolledAccepts Medicare Assignment
4701 ENTERPRISE WAY, MODESTO, CA 95356(209) 550-6016 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Candi Lynn Tubbs-davidson NPPES

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

MRS. CANDI LYNN TUBBS-DAVIDSON (NPI 1346372075) is an individual marriage & family therapist in Modesto, California, licensed in California (MFC50464) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1346372075
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. CANDI LYNN TUBBS-DAVIDSON
Location Address4701 ENTERPRISE WAYModesto, CA 95356-8715
Mailing Address885 W 18th StMerced, CA 95340-4604 · (209) 726-3090 · Fax (209) 722-7648
Phone(209) 550-6016
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 9, 2007
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
✔ NPI 1346372075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFC50464
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4701 ENTERPRISE WAY, Modesto, CA 95356
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Candi Lynn Tubbs-davidson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850744772
PECOS Enrollment IDI20240126003459
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Candi Tubbs-davidson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
25 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Candi Tubbs-davidson's NPI number?

The NPI number for Candi Tubbs-davidson is 1346372075. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Candi Tubbs-davidson located?

Candi Tubbs-davidson practices at 4701 Enterprise Way, Modesto, CA 95356. The listed phone number is (209) 550-6016.

What is Candi Tubbs-davidson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Candi Tubbs-davidson enrolled in Medicare?

Yes. Candi Tubbs-davidson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Candi Tubbs-davidson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candi Tubbs-davidson reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Candi Tubbs-davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Candi Tubbs-davidson was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.