Family Practice Health And Wellness, INC
Non-Pharmacy Dispensing Site in Modesto, CA. Organization (NPI-2).
NPI number1164754347
StatusActive
Last updated in NPPESMar 28, 2012
Details
- NPI
- 1164754347
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Practice Health And Wellness, INC
- Organization subpart
- Yes
- Enumeration date
- Feb 12, 2010
- Last updated
- Mar 28, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | – | – | Yes |
Practice location
2020 Standiford AveBld D Suite D1
Modesto, CA 95350-6529
Phone 209-575-4990
Mailing address
2980 N Beverly Glen Cir Ste 100Los Angeles, CA 90077-1728
Phone 310-474-9809
Authorized official
Kathy Christopher
Medical Director
2095754990
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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