| Aspen Family Medical Group Of Modesto, Inc. | |
|
1130 Coffee Rd Ste 10 Modesto CA 95355-4228 | |
| (209) 522-9054 | |
| (209) 522-2631 |
| Full Name | Aspen Family Medical Group Of Modesto, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1130 Coffee Rd Ste 10, Modesto, California |
| Authorized Official Name and Position | Mariela Gutierrez (CLINIC SUPERVISOR) |
| Authorized Official Contact | 2095229054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Family Medical Group Of Modesto, Inc. 1130 Coffee Rd Ste 10 Modesto CA 95355-4228 Ph: (209) 522-9054 | Aspen Family Medical Group Of Modesto, Inc. 1130 Coffee Rd Ste 10 Modesto CA 95355-4228 Ph: (209) 522-9054 |
| NPI Number | 1467533737 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/12/2024 |
| Medicare PECOS PAC ID | 4183615248 |
|---|---|
| Medicare Enrollment ID | O20040519000541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467533737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Matthew Freitas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871535252 PECOS PAC ID: 8426037029 Enrollment ID: I20040716000960 |
| Provider Name | Kent A Hufford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487659272 PECOS PAC ID: 3577608579 Enrollment ID: I20100302000517 |
| Provider Name | Shayna Walker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760688295 PECOS PAC ID: 0446406714 Enrollment ID: I20130904000172 |
| Provider Name | Fiel D Gamad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114342805 PECOS PAC ID: 7012130396 Enrollment ID: I20140514002260 |
| Provider Name | Maricelle Gamad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619344348 PECOS PAC ID: 6103116371 Enrollment ID: I20160531000784 |
| Provider Name | Gabriel Klapman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316280985 PECOS PAC ID: 4981918166 Enrollment ID: I20170206001368 |
Stanislaus County Behavioral Health & Recovery Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Kansas Ave Ste B, Modesto, CA 95351 Phone: 209-558-8884 Fax: 209-558-8888 | |
Behavioral & Educational Strategies & Training Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2630 W Rumble Rd, Modesto, CA 95350 Phone: 209-579-9444 Fax: 209-579-9494 | |
Downtown Streets, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 H St Ste 100, Modesto, CA 95354 Phone: 408-899-7350 | |
County Of Stanislaus Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 500 N 9th St Ste A, Modesto, CA 95350 Phone: 209-558-4598 | |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 6th St, Modesto, CA 95354 Phone: 209-576-2845 Fax: 209-384-3966 | |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Las Vegas St, Modesto, CA 95358 Phone: 209-576-4200 Fax: 209-384-3966 | |
County Of Stanislaus Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Poplar Ave, Modesto, CA 95354 Phone: 209-558-7494 |