MODESTO RADIOLOGICAL MEDICAL GROUP INC NPI 1073969838

NPI Information

NPI: 1073969838
Provider Name: MODESTO RADIOLOGICAL MEDICAL GROUP, INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
148 BEACHVIEW AVE
SANTA CRUZ, CA
ZIP 95060
Phone: (559) 455-4009
Get Directions

MODESTO RADIOLOGICAL MEDICAL GROUP, INC is a diagnostic radiology radiology in Santa Cruz, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MODESTO RADIOLOGICAL MEDICAL GROUP, INC NPI is 1073969838. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

148 BEACHVIEW AVE
SANTA CRUZ, CA
ZIP 95060-008
Phone: (559) 455-4009
Fax: (916) 533-0313

The provider's authorized official is Mark E Moore .
The authorized official title is Coo and has the following contact phone number (209) 342-5946.

The enumeration date for this NPI number is 5/11/2016 and was last updated on 5/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »