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MODESTO PRIMARY CARE
NPI 1841215530
Clinic/Center - Primary Care in Modesto, CA

Active since July 13, 2006
2020 COFFEE RD STE J2, MODESTO, CA 95355(209) 572-0191 Get Directions Write a Review

NPPES record last updated: August 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Modesto Primary Care NPPES

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

MODESTO PRIMARY CARE (NPI 1841215530) is a healthcare organization registered as a primary care in Modesto, California and active in the NPI registry since July 2006. The organization lists Michelle Wattle, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1841215530
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMODESTO PRIMARY CARE
Location Address2020 COFFEE RD STE J2Modesto, CA 95355-2416
Mailing AddressPo Box 4398Modesto, CA 95352-4398 · (209) 575-4575
Phone(209) 572-0191
Organization SubpartNo
Authorized OfficialMichelle WattleOffice Manager · (209) 575-4575
Enumeration DateJuly 13, 2006
Last NPPES UpdateAugust 6, 2008
✔ NPI 1841215530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · A17110
2020 COFFEE RD STE J2, Modesto, CA 95355
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Other Identifiers 2

Medicare ID-Type UnspecifiedZZZ18356ZCA
MedicaidGR0086820CA

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 Modesto Primary Care's NPI number?

The NPI number for Modesto Primary Care is 1841215530. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is Modesto Primary Care located?

Modesto Primary Care is located at 2020 Coffee Rd Ste J2, Modesto, CA 95355. The listed phone number is (209) 572-0191.

What is Modesto Primary Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Modesto Primary Care was last updated on August 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.