OrganizationActive
Legacy Alliance Outreach
NPI 1619708229 · Peer Specialist · Modesto, CA
Provider details
- NPI number
- 1619708229
- Entity type
- Organization
- Primary specialty
- Peer SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Alexander Bequette, Program Director(925) 784-0386
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
820 H St
Modesto, CA 95354-3419
Phone: (209) 480-6199
Street-level locationGet directions
Mailing address
2601 Oakdale Rd Ste 154
Modesto, CA 95355-2256
Registry dates
- Enumerated
- 2024-08-13
- Last updated
- 2024-08-13
- Certified
- 2024-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.