# MODESTO FIRE DEPARTMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588338131
- **Authorized official:** JESSE ANTHONY NICASIO PARAMEDIC (DEPUTY CHIEF)
- **Authorized official phone:** (209) 661-6974

## Contact information

- **Practice address:** 409 12TH ST, MODESTO, CA 95354-2401
- **Practice address phone:** (209) 572-9590
- **Practice address fax:** (209) 544-1652
- **Mailing address:** 409 12TH ST, MODESTO, CA 95354-2401
- **Mailing address phone:** (209) 572-9590
- **Mailing address fax:** (209) 544-1652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | — | — |
| 333300000X | Emergency Response System Companies | — | — | — |
| 341600000X | Ambulance | — | — | Yes |
| 3416L0300X | Land Ambulance | — | — | — |

## Other

- **Enumeration date:** 08/06/2021
- **Last updated:** 06/24/2026