IndividualActive
John Black
NPI 1417014176 · Specialist · Modesto, CA
John Black is a Specialist provider in Modesto, CA (NPI 1417014176).
Provider details
- NPI number
- 1417014176
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% 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 Yosemite Blvd
Suite a
Modesto, CA 95354-2800
Phone: (209) 341-1824
Fax: (209) 523-1296
Street-level locationGet directions
Mailing address
5336 Avenue D
Modesto, CA 95358-9445
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2007-07-08
Frequently asked questions
- What is John Black's NPI number?
- John Black's National Provider Identifier (NPI) is 1417014176, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Black's specialty?
- John Black is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is John Black located?
- John Black's practice location on file with NPPES is 1601 Yosemite Blvd, Modesto, CA 95354-2800.
- What is John Black's phone number?
- The practice phone number listed in the NPPES registry for John Black is (209) 341-1824.
- Is John Black's NPI active?
- Yes — John Black's NPI (1417014176) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.