ASPEN FAMILY MEDICAL GROUP OF MODESTO, INC. – NPI #1497531719
Clinic/Center

ASPEN FAMILY MEDICAL GROUP OF MODESTO, INC. is an AHC clinic located in MODESTO, CA. NPPES has assigned the NPI number 1497531719 to ASPEN FAMILY MEDICAL GROUP OF MODESTO, INC. on September 01, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 2 years ago on May 02, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ASPEN FAMILY MEDICAL GROUP OF MODESTO, INC. below.

NPI Profile for
ASPEN FAMILY MEDICAL GROUP OF MODESTO, INC.

NPI Number
1497531719
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ASPEN FAMILY MEDICAL GROUP OF MODESTO, INC.
Primary location
1130 COFFEE RD STE 10
MODESTO, CA 95355-4228
Phone: (209) 522-9054 Fax: (209) 550-5898
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARIELA GUTIERREZ
CLINIC SUPERVISOR
Phone: (209) 522-9054
Updated
Certification Date
May 02, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.