AFFECTION HEALTH CARE LLC NPI 1710773908

NPI Information

  • NPI: 1710773908
  • Provider Name: AFFECTION HEALTH CARE LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • :
  • CLIA Number: 05D2329907
  • Address: 1620 N CARPENTER RD STE D46
    MODESTO, CA
    ZIP 95351
  • Phone: (949) 514-8188

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NPI Details

AFFECTION HEALTH CARE LLC is a family nurse practitioner in Modesto, CA. AFFECTION HEALTH CARE LLC NPI is 1710773908. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1620 N CARPENTER RD STE D46
MODESTO, CA
ZIP 95351-161
Phone: (949) 514-8188

The provider's authorized official is Amaechi George Ozor .
The authorized official title is Ceo and has the following contact phone number (350) 216-5774.

The CLIA number assigned to this NPI record is 05D2329907 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2025 and was last updated on 7/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208100000XPhysical Medicine & RehabilitationNo
2261QM1300XClinic/CenterMulti-SpecialtyNo
3261QP3300XClinic/CenterPainNo
4261QU0200XClinic/CenterUrgent CareNo
5363LA2100XNurse PractitionerAcute CareNo
6363LX0106XNurse PractitionerOccupational HealthNo
7363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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