Organization · Type 2 NPI

County of Stanislaus

Clinic/Center · Modesto, CA

NPI number 1891991741 Active

Practice location

830 Scenic Dr, Ste A
Modesto, CA 95350-6131

Fax (209) 558-8611

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

59 other providers at this address

Other clinic/center providers in Modesto

See all in Modesto →

NPI record

NPI: 1891991741
Entity type: Organization (Type 2)
Issued: Jun 26, 2007
Last updated: Nov 21, 2025
Status: Active
Subpart: Yes of Stanislaus County Health Services Agency

Other names

<unavail>
Stanislaus County Health Services Agency Pediatrics Center · doing business as

Authorized official

Heather Duvall
Managing Director
(209) 558-7163

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1891991741

County of Stanislaus's National Provider Identifier is 1891991741, issued on Jun 26, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Modesto, CA. The record was last updated on Nov 21, 2025.