STANISLAUS COUNTY HEALTH SERVICES AGENCY
NPI 1629094891
Clinic/Center - Multi-Specialty in Modesto, CA
About Stanislaus County Health Services Agency NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STANISLAUS COUNTY HEALTH SERVICES AGENCY (NPI 1629094891) is a healthcare organization registered as a multi-specialty in Modesto, California and active in the NPI registry since July 2006. The organization lists Mary Ann Lee, Managing Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 15
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stanislaus County Health Services Agency is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
58Medicare enrollment records show 58 clinicians reassign Medicare billing to Stanislaus County Health Services Agency, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 39 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 58Source: 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 County Of Stanislaus's NPI number?
The NPI number for County Of Stanislaus is 1629094891. It was assigned to this organization in the NPPES registry on July 14, 2006. The provider is doing business as Stanislaus County Health Services Agency.
Where is County Of Stanislaus located?
County Of Stanislaus is located at 830 Scenic Dr Modesto, Ca Suite B, Modesto, CA 95350. The listed phone number is (209) 558-7000.
What is County Of Stanislaus's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is County Of Stanislaus enrolled in Medicare?
Yes. County Of Stanislaus is registered in the Medicare PECOS enrollment system.
When is County Of Stanislaus's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Mass Immunization (Roster Biller Only)) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through County Of Stanislaus?
According to the CMS Revalidation Reassignment List (October 2026 release), 58 clinicians in 17 Medicare specialties reassign their Medicare billing to County Of Stanislaus. A 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 the clinician's services. The largest specialties are Family Practice (10), Orthopedic Surgery (10) and Marriage and Family Therapist (8). Of these, 2 practice at this address and 39 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for County Of Stanislaus was last updated on October 3, 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.
# Stanislaus County Health Services Agency · NPI 1629094891
Multi-Specialty organization in Modesto, California. Organization record, active in the CMS NPPES registry since July 14, 2006.
## Identity
- **NPI:** 1629094891 (Entity type: Organization)
- **Enumerated:** July 14, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** County Of Stanislaus
- **Organization subpart:** No
- **Authorized official:** Mary Ann Lee, MANAGING DIRECTOR
## Practice location
- **Address:** 830 SCENIC DR, MODESTO, CA SUITE B, Modesto, CA 95350-6131
- **Phone:** (209) 558-7000 · **Fax:** (209) 558-8611
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Mass Immunization (Roster Biller Only)) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 58 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (10), Orthopedic Surgery (10), Marriage and Family Therapist (8); 2 practice at this address and 39 within 10 miles; [full list](https://npiprofile.com/npi/1629094891/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2024
- **Other identifiers:** Other CMM70751F (CA); Other LAB10463F (CA); Other CMM70760F (CA); and 12 more
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Source: [NPI Profile](https://npiprofile.com/npi/1629094891) · Data from the CMS NPPES public registry.