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COUNTY OF STANISLAUS
NPI 1760353155
Clinic/Center - Prison Health in Modesto, CA

Active since September 17, 2025
2215 BLUE GUM AVE, MODESTO, CA 95358(209) 652-3805(209) 652-3805 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2025, Sep 17, 2025 (2 updates tracked since 2025).

About County Of Stanislaus NPPES

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

COUNTY OF STANISLAUS (NPI 1760353155) is a healthcare organization registered as a prison health in Modesto, California and active in the NPI registry since September 2025. The organization lists Marisol Marin, Calaim Transformation Manager, as its authorized official.

NPPES Registry Identity

NPI1760353155
Entity TypeOrganization
Primary Taxonomy261QP2400X
Legal Business NameCOUNTY OF STANISLAUS
Location Address2215 BLUE GUM AVEModesto, CA 95358-1052
Mailing Address2215 Blue Gum AveModesto, CA 95358-1052 · (209) 652-3805 · Fax (209) 652-3805
Phone(209) 652-3805
Fax(209) 652-3805
Organization SubpartYes
Authorized OfficialMarisol MarinCalaim Transformation Manager · (209) 652-3805
Enumeration DateSeptember 17, 2025
Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1760353155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Prison HealthAmbulatory Health Care Facilities
Taxonomy Code261QP2400X
Also ListedClinic/CenterTaxonomy 261Q00000X
2215 BLUE GUM AVE, Modesto, CA 95358
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Other Providers at the Same Location NPPES 20

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

MRS. MARTHA ANGELICA ESTRADA MFT INTERN
Marriage & Family Therapist
2215 BLUE GUM AVE
MODESTO, CA 95358
Stanislaus County (209) 525-5380
SCOTT MICHAEL CHARLTON
Counselor (Professional)
2215 BLUE GUM AVE
MODESTO, CA 95358
Stanislaus County (209) 573-1981
RICARDO MARAVILLA-GARCIA
Peer Specialist
2215 BLUE GUM AVE
MODESTO, CA 95358
Stanislaus County (209) 525-5401
KATHRYN CATLIN STEWART
Counselor (Addiction (Substance Use Disorder))
2215 BLUE GUM AVE
MODESTO, CA 95358
Stanislaus County (209) 525-4572
STANISLAUS COUNTY BHRS
Community/Behavioral Health
2215 BLUE GUM AVE
MODESTO, CA 95358
Stanislaus County (209) 558-4752
STEPHANIE WHITEFIELD
Student in an Organized Health Care Education/Training Program
2215 BLUE GUM AVE
MODESTO, CA 95358
Stanislaus County (209) 525-5401
COUNTY OF STANISLAUS
Community/Behavioral Health
2215 BLUE GUM AVE
MODESTO, CA 95358
Stanislaus County (209) 525-6225
JESSICA NICOLE VAN TUINEN
Technician
2215 BLUE GUM AVE
MODESTO, CA 95358
Stanislaus County (209) 541-7685

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 1760353155. It was assigned to this organization in the NPPES registry on September 17, 2025.

Where is County Of Stanislaus located?

County Of Stanislaus is located at 2215 Blue Gum Ave, Modesto, CA 95358. The listed phone number is (209) 652-3805.

What is County Of Stanislaus's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Prison Health, with taxonomy code 261QP2400X.

When was this NPI record last updated?

The NPPES record for County Of Stanislaus was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.