OrganizationActive
Aspen Family Medical Group of Modesto Inc.
NPI 1457779043 · Non-Pharmacy Dispensing Site · Modesto, CA
Aspen Family Medical Group of Modesto Inc. is a Non-Pharmacy Dispensing Site organization in Modesto, CA (NPI 1457779043).
Provider details
- NPI number
- 1457779043
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 964-1506
- License
- 6371 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
2501 Mchenry Ave
Suite F
Modesto, CA 95350-3259
Phone: (209) 522-9054
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- Aspen Family Medical Group
Registry dates
- Enumerated
- 2014-04-01
- Last updated
- 2014-04-01
Frequently asked questions
- What is Aspen Family Medical Group of Modesto Inc.'s NPI number?
- Aspen Family Medical Group of Modesto Inc.'s National Provider Identifier (NPI) is 1457779043, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Aspen Family Medical Group of Modesto Inc.?
- Aspen Family Medical Group of Modesto Inc. is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Aspen Family Medical Group of Modesto Inc. located?
- Aspen Family Medical Group of Modesto Inc.'s practice location on file with NPPES is 2501 Mchenry Ave, Modesto, CA 95350-3259.
- What is Aspen Family Medical Group of Modesto Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Aspen Family Medical Group of Modesto Inc. is (209) 522-9054.
- Who is the authorized official for Aspen Family Medical Group of Modesto Inc.?
- The authorized official listed on Aspen Family Medical Group of Modesto Inc.'s NPPES record is Kenny Heine, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Aspen Family Medical Group of Modesto Inc.'s NPI active?
- Yes — Aspen Family Medical Group of Modesto Inc.'s NPI (1457779043) is active in the NPPES registry as of the last update on 2014-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.