Caryl Prunty
Driver in Modesto, CA. Individual provider (NPI-1).
NPI number1326430232
StatusActive
Last updated in NPPESMar 2, 2015
Details
- NPI
- 1326430232
- Entity type
- Individual (NPI-1)
- Name
- Caryl Prunty
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2015
- Last updated
- Mar 2, 2015
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 |
|---|---|---|---|---|
| 172A00000X | Driver | – | – | Yes |
Practice location
1401 Del Mar AveModesto, CA 95350-4805
Phone 209-476-8533
Mailing address
1212 N. California St.Stockton, CA 95202
Phone 209-476-8533
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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All 6 Driver providers in Modesto · All 10,803 providers in Modesto
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