Provider Type Icon

ESCALON PHYSICAL MEDICINE INC NPI 1821417866


NPI Information

NPI: 1821417866
Provider Name: ESCALON PHYSICAL MEDICINE, INC

Doing Business As: MODESTO PHYSICAL MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1933 COFFEE RD
MODESTO, CA
ZIP 95355
Phone: (209) 838-3434
Get Directions

ESCALON PHYSICAL MEDICINE, INC is a family medicine in Modesto, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ESCALON PHYSICAL MEDICINE, INC NPI is 1821417866. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Modesto Physical Medicine.

The provider's business location address is:

1933 COFFEE RD
MODESTO, CA
ZIP 95355-704
Phone: (209) 838-3434
Fax: (209) 838-7753

The provider's authorized official is John Bystrom .
The authorized official title is Owner and has the following contact phone number (209) 838-3434.

The enumeration date for this NPI number is 4/7/2014 and was last updated on 1/11/2023.


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
1208D00000XGeneral PracticeA74921CALIFORNIANo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3363LF0000XNurse PractitionerFamilyNo
4207Q00000XFamily MedicineYes

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: 4/28/2024

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.