Whalio Doctors

NPI 1013213180

Camera Bonsack, CSTII

Practitioner Peer Specialist Modesto, CA

Practice location

Address
800 Scenic Dr STE E, Modesto, CA 95350-6131
Phone
(209) 531-8016
Fax
(209) 525-4590
Mailing address
522 E Granger Ave, Modesto, CA 95350-4545

Registered specialties (2)

Peer Specialist Primary
Other Service Providers Taxonomy 175T00000X Licence MPSS-PSQHDC (CA)
Community Health Worker
Other Service Providers Taxonomy 172V00000X

Registry record

NPI
1013213180
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Feb 2011
Record last updated
16 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.