OrganizationActive
Nineveh Outreach
NPI 1366799801 · Clinic/Center · Modesto, CA
Nineveh Outreach is a Clinic/Center organization in Modesto, CA (NPI 1366799801).
Provider details
- NPI number
- 1366799801
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Calvary Temple Worship Center
- Organization subpart
- Yes
- Authorized official
- Manuel Canga, Medical Director(209) 529-7346
- License
- 550001116 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1601 Coffee Rd
Modesto, CA 95355-2801
Phone: (209) 529-7346
Fax: (209) 529-7034
Street-level locationGet directions
Mailing address
Po Box 578901
Modesto, CA 95357-8901
Other names (DBA / former)
- Doing business as
- Hope Medivan
Registry dates
- Enumerated
- 2012-08-14
- Last updated
- 2012-08-14
Frequently asked questions
- What is Nineveh Outreach's NPI number?
- Nineveh Outreach's National Provider Identifier (NPI) is 1366799801, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nineveh Outreach?
- Nineveh Outreach is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Nineveh Outreach located?
- Nineveh Outreach's practice location on file with NPPES is 1601 Coffee Rd, Modesto, CA 95355-2801.
- What is Nineveh Outreach's phone number?
- The practice phone number listed in the NPPES registry for Nineveh Outreach is (209) 529-7346.
- Who is the authorized official for Nineveh Outreach?
- The authorized official listed on Nineveh Outreach's NPPES record is Manuel Canga, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nineveh Outreach's NPI active?
- Yes — Nineveh Outreach's NPI (1366799801) is active in the NPPES registry as of the last update on 2012-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.