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Data Labs Specialties States API

Search › California › Community Health Worker

Julian Moonlightt

NPI 1497614358 · on the registry since 2026

Practice

Address
111 Modesto Ave
Modesto, CA 95354
Phone
(209) 408-8848
Clinicians at this address
4

Registry record

Primary taxonomy
Community Health Worker
172V00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California