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ASPEN FAMILY MEDICAL GROUP
NPI 1457779043
Non-Pharmacy Dispensing Site in Modesto, CA

Active since April 01, 2014CLIA 05D0944005 · Waiver
2501 MCHENRY AVE, SUITE F, MODESTO, CA 95350(209) 522-9054 Get Directions Write a Review

NPPES record last updated: April 1, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Aspen Family Medical Group NPPES

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

ASPEN FAMILY MEDICAL GROUP (NPI 1457779043) is a healthcare organization registered as a non-pharmacy dispensing site in Modesto, California and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1457779043
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameASPEN FAMILY MEDICAL GROUP OF MODESTO INC.
Location Address2501 MCHENRY AVE, SUITE FModesto, CA 95350-3259
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(209) 522-9054
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateApril 1, 2014
✔ NPI 1457779043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in CA · 6371
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
2501 MCHENRY AVE, Modesto, CA 95350
Open in Google Maps ↗

Other Names 1

Doing Business AsAspen Family Medical Group

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0944005

Aspen Family Medical Group Of Modesto, Inc · Modesto, CA
Active · expires Apr 6, 2028
CLIA Number05D0944005
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorKent A. Hufford
Laboratory Phone(209) 522-9054
Laboratory LocationAspen Family Medical Group Of Modesto, Inc1130 Coffee Rf Suite 10, Modesto, CA 95355
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. LENNARD SCOT HEY D.C., FNP
Nurse Practitioner (Primary Care)
2501 MCHENRY AVE, SUITE F
MODESTO, CA 95350
Stanislaus County (209) 522-9054
DANIEL S LUCKY MSN, FNP-C, GNP-C,
Nurse Practitioner (Family)
2501 MCHENRY AVE, SUITE F
MODESTO, CA 95350
Stanislaus County (209) 522-9054
MR. MATTHEW F FREITAS FNP
Nurse Practitioner (Family)
2501 MCHENRY AVE, SUITE F
MODESTO, CA 95350
Stanislaus County (209) 522-9054
RODICA HAQ PA-C
Physician Assistant
2501 MCHENRY AVE, SUITE F
MODESTO, CA 95350
Stanislaus County (209) 522-9054

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 Aspen Family Medical Group Of Modesto Inc.'s NPI number?

The NPI number for Aspen Family Medical Group Of Modesto Inc. is 1457779043. It was assigned to this organization in the NPPES registry on April 1, 2014. The provider is doing business as Aspen Family Medical Group.

Where is Aspen Family Medical Group Of Modesto Inc. located?

Aspen Family Medical Group Of Modesto Inc. is located at 2501 Mchenry Ave Suite F, Modesto, CA 95350. The listed phone number is (209) 522-9054.

What is Aspen Family Medical Group Of Modesto Inc.'s specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Aspen Family Medical Group Of Modesto Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0944005) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Aspen Family Medical Group Of Modesto Inc. was last updated on April 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.