Nineveh Outreach
NPI 1366799801ActiveOrganization· Clinic/Center· Modesto, CA
Clinic/Center in Modesto, California, registered in NPPES in August 2012, part of Calvary Temple Worship Center. The authorized official on file is Manuel L. Canga, M.D., Medical Director.
Overview
| NPI | 1366799801 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Calvary Temple Worship Center |
| NPI issued | Aug 14, 2012 |
| Last updated in NPPES | Aug 14, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | 550001116 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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