Individual provider · Type 1 NPI

Julian Moonlightt

Community Health Worker · Modesto, CA

NPI number 1497614358 Active

Practice location

111 Modesto Ave
Modesto, CA 95354-0414

Mailing address

1202 H St
Modesto, CA 95354-2443

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker Primary 172V00000X1639965189 (CA)

Community Health Worker: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(…

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About NPI 1497614358

Julian Moonlightt's National Provider Identifier is 1497614358, issued on Jan 16, 2026. The primary taxonomy on file is Community Health Worker (172V00000X), and the practice location is in Modesto, CA. The record was last updated on Jan 16, 2026.