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ROBERT CRAIG FETZ M.D. NPI 1306869177


NPI Information

NPI: 1306869177
Provider Name: ROBERT CRAIG FETZ, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1524 MCHENRY AVE
SUITE 100
MODESTO, CA
ZIP 95350
Phone: (209) 577-4444
Get Directions

Robert Craig Fetz, M.D. 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. Robert Craig Fetz, M.D. NPI is 1306869177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1524 MCHENRY AVE
SUITE 100
MODESTO, CA
ZIP 95350-500
Phone: (209) 577-4444
Fax: (209) 527-2069

The NPI 1306869177 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 8/27/2008.


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
12085R0202XRadiologyDiagnostic RadiologyG33114CALIFORNIAYes

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
100G3311411MEDICARE PINCALIFORNIA
200G3311412MEDICARE PINCALIFORNIA
300G3311413MEDICARE PINCALIFORNIA
400G331146MEDICARE PINCALIFORNIA
500G3311410MEDICARE PINCALIFORNIA
600G3311415MEDICARE PINCALIFORNIA
700G331149MEDICARE PINCALIFORNIA
800G331143MEDICARE PINCALIFORNIA
900G331144MEDICARE PINCALIFORNIA
1000G331148MEDICARE PINCALIFORNIA
11300024662MEDICARE PINCALIFORNIA
12A45432MEDICARE UPINCALIFORNIA
1300G331140MEDICAIDCALIFORNIA
1400G331142MEDICARE PINCALIFORNIA
1500G331147MEDICARE PINCALIFORNIA
1600G3311414MEDICARE PINCALIFORNIA
1700G331141MEDICARE PINCALIFORNIA
1800G331145MEDICARE PINCALIFORNIA
1900G331140MEDICARE PINCALIFORNIA

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.