Provider Type Icon

MODESTO RADIOLOGICAL MEDICAL GROUP INC. NPI 1992747547


NPI Information

NPI: 1992747547
Provider Name: MODESTO RADIOLOGICAL MEDICAL GROUP, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1524 MCHENRY AVE
SUITE 100
MODESTO, CA
ZIP 95350
Phone: (209) 342-5920
Get Directions

MODESTO RADIOLOGICAL MEDICAL GROUP, INC. is a diagnostic radiology radiology in Modesto, 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 1992747547. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1524 MCHENRY AVE
SUITE 100
MODESTO, CA
ZIP 95350-500
Phone: (209) 342-5920

The provider's authorized official is Michael Zeppa .
The authorized official title is President and has the following contact phone number (209) 342-5920.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 9/1/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0204XRadiologyVascular & Interventional RadiologyNo
22085B0100XRadiologyBody ImagingNo
32085N0700XRadiologyNeuroradiologyNo
42085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0043720MEDICAIDCALIFORNIA
2ZZZ72867ZMEDICAIDCALIFORNIA
3GR0043724MEDICAIDCALIFORNIA
4GR0050220MEDICAIDCALIFORNIA
5ZZZ75541ZMEDICAIDCALIFORNIA
6GR0050221MEDICAIDCALIFORNIA
7ZZZ78409ZMEDICAIDCALIFORNIA
8GR0050090MEDICAIDCALIFORNIA
9GR0043722MEDICAIDCALIFORNIA
10ZZZ02008ZMEDICAIDCALIFORNIA
11GR0043723MEDICAIDCALIFORNIA
12ZZZ72881ZMEDICAIDCALIFORNIA

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

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.