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PRO HEALTH MEDICAL GROUP
NPI 1760670988
Specialist in Modesto, CA

Active since October 12, 2007CLIA 05D0896731 · Microscopy
1401 SPANOS CT, SUITE 122, MODESTO, CA 95355(209) 529-2052(209) 529-0323 Get Directions Write a Review

NPPES record last updated: November 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pro Health Medical Group NPPES

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

PRO HEALTH MEDICAL GROUP (NPI 1760670988) is a healthcare organization registered as a specialist in Modesto, California and active in the NPI registry since October 2007. The organization holds a CLIA Microscopy certificate valid through June 30, 2028 and lists Edward Leonard Auen, Physician, as its authorized official.

NPPES Registry Identity

NPI1760670988
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEDWARD L AUEN PHD M D INC
Location Address1401 SPANOS CT, SUITE 122Modesto, CA 95355-2810
Mailing Address1401 Spanos Ct, Suite 122Modesto, CA 95355-2810 · (209) 529-2052 · Fax (209) 529-0323
Phone(209) 529-2052
Fax(209) 529-0323
Organization SubpartNo
Authorized OfficialEdward Leonard AuenPhysician · (209) 529-2052
Enumeration DateOctober 12, 2007
Last NPPES UpdateNovember 21, 2012
✔ NPI 1760670988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A50019
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1401 SPANOS CT, Modesto, CA 95355
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Other Names 1

Doing Business AsPro Health Medical Group

Other Identifiers 2

Medicare UPINF05313CA
Medicare PINZZZ18264ZCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY 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 for Provider-Performed Microscopy Procedures (PPMP) 05D0896731

Prohealth Medical Group · Modesto, CA
Active · expires Jun 30, 2028
CLIA Number05D0896731
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorEdward L. Auen MD
Laboratory Phone(209) 529-2052
Laboratory LocationProhealth Medical Group1401 Spanos Ct Ste 122, Modesto, CA 95355
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

RON JENNISON
Pharmacist
1401 SPANOS CT, STE 105
MODESTO, CA 95355
Stanislaus County (209) 525-3141
CENTRAL VALLEY RADIATION ONCOLOGY
Clinic/Center (Oncology, Radiation)
1401 SPANOS CT
MODESTO, CA 95355
Stanislaus County (209) 823-1609
KEVIN NOEL BIXEL PA
Physician Assistant
1401 SPANOS CT, SUITE 130
MODESTO, CA 95355
Stanislaus County (209) 550-4779
VALLEY CANCER MEDICAL GROUP
Internal Medicine (Hematology & Oncology)
1401 SPANOS CT, #134
MODESTO, CA 95355
Stanislaus County (209) 529-2000
DR. ALEXANDER ALLEN DAVIS M.D.
Orthopaedic Surgery
1401 SPANOS CT, SUITE 101
MODESTO, CA 95355
Stanislaus County (209) 606-5567
MS. REGINA MARIE SINGH FNP
Clinical Nurse Specialist (Medical-Surgical)
1401 SPANOS CT, SUITE 103
MODESTO, CA 95355
Stanislaus County (209) 525-3170
MISS NIVIA SALAS VARELA PAC
Physician Assistant
1401 SPANOS CT, SUITE 125
MODESTO, CA 95355
Stanislaus County (209) 524-1211
DR. NICKEY JAFARI MD MPH
Obstetrics & Gynecology
1401 SPANOS CT
MODESTO, CA 95355
Stanislaus County (209) 550-4720

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 Edward L Auen Phd M D Inc's NPI number?

The NPI number for Edward L Auen Phd M D Inc is 1760670988. It was assigned to this organization in the NPPES registry on October 12, 2007. The provider is doing business as Pro Health Medical Group.

Where is Edward L Auen Phd M D Inc located?

Edward L Auen Phd M D Inc is located at 1401 Spanos Ct Suite 122, Modesto, CA 95355. The listed phone number is (209) 529-2052.

What is Edward L Auen Phd M D Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Edward L Auen Phd M D Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0896731) is associated with this NPI, valid through June 30, 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 Edward L Auen Phd M D Inc was last updated on November 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.