MODESTO RADIOLOGICAL MEDICAL GROUP, INC (NPI# 1063953362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063953362 |
| Entity Type | Organization |
| Organization Name | MODESTO RADIOLOGICAL MEDICAL GROUP, INC |
| Practice Address |
1200 4th St Apt 103 San Francisco CA 94158-2392 |
| Mailing Address |
Po Box 7326 San Francisco CA 94120-7326 |
| Practice Telephone | 5594554009 |
| Practice Fax Number | 9165330313 |
| Mailing Telephone | 5594554009 |
| Mailing Fax Number | 9165330313 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Authorized Official Name | MARK E MOORE (CFO/COO) |
| Authorized Official Telephone | 5594554009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255872552 | Modesto Radiological Medical Group, Inc | Radiology | 3421 Deep Waters Ct, Simi Valley, CA 93065-0587 | 2017-03-20 |
| 1134670656 | Modesto Radiological Medical Group, Inc | Radiology | 8673 Julie Lynne Cir, Tracy, CA 95304-9207 | 2016-10-19 |
| 1073969838 | Modesto Radiological Medical Group, Inc | Radiology | 148 Beachview Ave, Santa Cruz, CA 95060-3008 | 2016-05-11 |
| 1992170542 | Modesto Radiological Medical Group, Inc | Radiology | 728 Murphy Dr, San Mateo, CA 94402-3421 | 2015-12-08 |
| 1023482296 | Modesto Radiological Medical Group, Inc | Radiology | 6729 Monte Rd, San Luis Obispo, CA 93401-8050 | 2015-11-25 |
| 1861866022 | Modesto Radiological Medical Group, Inc | Radiology | 1648 Dalton Rd, Palos Verdes Estates, CA 90274-1835 | 2015-11-25 |
| 1760856934 | Modesto Radiological Medical Group, Inc | Radiology | 2132 Lysander Way, Roseville, CA 95661-3220 | 2015-11-25 |
| 1154808095 | Modesto Radiological Medical Group, Inc | Radiology | 3750 Whitman Cir, Carmel, CA 93923-8326 | 2018-07-24 |
| 1881198604 | Modesto Radiological Medical Group, Inc | Radiology | 1202 Chelshurst Way, Spring, TX 77379-3247 | 2018-03-19 |
| 1265973556 | Modesto Radiological Medical Group, Inc | Radiology | 6043 E Birdcage Ct, Orange, CA 92869-6015 | 2017-03-20 |
| Street Address |
1200 4TH ST APT 103 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94158-2392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083082804 | Paul Michael Cook | Chiropractor | 1200 4th St, 216, San Francisco, CA 94158-2392 | 2015-09-10 |
| 1235424284 | Kambrie Yukie Kato | Radiology | 1200 4th St, Apt 103, San Francisco, CA 94158-2392 | 2011-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114532298 | Carla Stern | Occupational Therapist | 940 4th Street, San Francisco, CA 94158 | 2020-09-15 |
| 1386272771 | Olga Agnieszka Lannon | Registered Nurse | 701 China Basin Street, San Francisco, CA 94158 | 2020-03-31 |
| 1679110407 | Drew Yoder | Physical Medicine & Rehabilitation | Chase Center - Bbops, 1 Warriors Way, San Francisco, CA 94158 | 2019-11-27 |
| 1518448430 | Christine Caitlin-quinley Magdalin | Physical Therapist | 1600 Owens Street, 6th Floor, San Francisco, CA 94158 | 2018-08-28 |
| 1477050730 | Daniel Bradford Cary Woolridge | Student in an Organized Health Care Education/Training Program | 1975 Fourth St., San Francisco, CA 94158 | 2018-04-12 |
| 1992223069 | Ambili N Thannil | Nurse Practitioner | 550 16th Street 5th Floor, San Francisco, CA 94158 | 2017-09-08 |
| 1831637974 | Michele Brown Foster | Nurse Practitioner | 1975 Fourth Street, San Francisco, CA 94158 | 2017-02-09 |
| 1124487525 | Jennifer Waters | Occupational Therapist | 1975 4th Street, Box 4050, Rehab Services, San Francisco, CA 94158 | 2016-02-15 |
| 1598148173 | Gabriel Perez Schwartz | Registered Nurse | 1825 Fourth Street, Fourth Floor, San Francisco, CA 94158 | 2015-07-01 |
| 1235424086 | Fanny Mojdeh Elahi | Psychiatry & Neurology | 675 Nelson Rising Lane, Ucsf Memory and Aging, San Francisco, CA 94158 | 2011-06-09 |
| Find all providers in zip 94158 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861995425 | Solano Diagnostics Partners, A Calif Limited Partnership | Radiology | 871 Lawton St, San Francisco, CA 94122-3541 | 2018-03-09 |
| 1144759697 | Iv Radiology Medical Group | Radiology | 1200 4th St Apt 426, San Francisco, CA 94158-2440 | 2017-06-08 |
| 1124559356 | Robert Earl Burky IIi | Radiology | 513 Parnassus Ave. S-321, Uscf - Department of Surgery, San Francisco, CA 94143-0470 | 2017-03-21 |
| 1487108403 | Stockdale Radiology Physician Services, Inc | Radiology | 1020 Francisco St, San Francisco, CA 94109-1127 | 2016-08-08 |
| 1700261765 | Riverside Radiology Medical Group, Inc. | Radiology | 400 Warren Dr, Apt. 4, San Francisco, CA 94131-1075 | 2015-07-20 |
| 1780070508 | Maya Vella | Radiology | 513 Parnassus Ave Rm S257a, San Francisco, CA 94143-2205 | 2015-04-08 |
| 1932598737 | Brian Trinh | Radiology | 513 Parnassus Ave # S257a, San Francisco, CA 94143-2205 | 2015-01-16 |
| 1164836607 | Marc-fernand Erian | Radiology | 1600 Divisadero St Rm C256, San Francisco, CA 94143-3010 | 2014-06-12 |
| 1770993271 | Ashley Lee | Radiology | 513 Parnassus Ave. Rm S-261, San Francisco, CA 94143-2205 | 2014-05-06 |
| 1194144170 | Sean Kelley | Radiology | 513 Parnassus Ave Ste S-261, San Francisco, CA 94143-2205 | 2014-04-07 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94158 |
Please comment or provide details below to improve the information on MODESTO RADIOLOGICAL MEDICAL GROUP, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.