Healthcare Provider Details

I. General information

NPI: 1073442232
Provider Name (Legal Business Name): ESMERALDA CUEVAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 MCHENRY VILLAGE WAY
MODESTO CA
95350-4308
US

IV. Provider business mailing address

1700 MCHENRY VILLAGE WAY
MODESTO CA
95350-4308
US

V. Phone/Fax

Practice location:
  • Phone: 209-252-3700
  • Fax: 209-859-6015
Mailing address:
  • Phone: 209-252-3700
  • Fax: 209-859-6015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: