MODESTO RADIOLOGICAL MEDICAL GROUP, INC (NPI# 1861866022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861866022 |
| Entity Type | Organization |
| Organization Name | MODESTO RADIOLOGICAL MEDICAL GROUP, INC |
| Practice Address |
1648 Dalton Rd Palos Verdes Estates CA 90274-1835 |
| Mailing Address |
1524 Mchenry Ave Suite 430 Modesto CA 95350-4500 |
| Practice Telephone | 5594554009 |
| Practice Fax Number | 9165330023 |
| Mailing Telephone | 5594554009 |
| Mailing Fax Number | 9165330023 |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |
| Authorized Official Name | MR. MARK MOORE (COO/CFO) |
| Authorized Official Telephone | 2093425946 |
| 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 |
| 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 |
| 1063953362 | Modesto Radiological Medical Group, Inc | Radiology | 1200 4th St, Apt 103, San Francisco, CA 94158-2392 | 2017-03-20 |
| 1265973556 | Modesto Radiological Medical Group, Inc | Radiology | 6043 E Birdcage Ct, Orange, CA 92869-6015 | 2017-03-20 |
| Street Address |
1648 DALTON RD |
| City | PALOS VERDES ESTATES |
| State | CA |
| Zip Code | 90274-1835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689297871 | Hearts Respond | Counselor | 336 Tejon Place, Palos Verdes Estates, CA 90274 | 2020-05-21 |
| 1649781568 | Daniel B Lyman | Acupuncturist | 46-e Peninsula Center Dr., #394, Rolling Hills Estates, CA 90274 | 2017-10-18 |
| 1811408735 | Shawna Hagerty Regan | Acupuncturist | 46-e Peninsula Center #394, Rolling Hills Estates, CA 90274 | 2017-10-18 |
| 1588188262 | Bassi Psychological Services Inc | Psychologist | 4030 Palos Verdes Dr. N. Suite 106, Rolling Hills Estates, CA 90274 | 2017-08-03 |
| 1144674433 | O.r. Barkhordar Dds Inc | Dentist | 1600 W. Redondo Beach Blvd, Ste 203, Gardena, CA 90274 | 2016-04-22 |
| 1962871657 | Melissa Eichel | Counselor | 12 Pinto Lane, Rolling Hills Estates, CA 90274 | 2015-09-23 |
| 1336414556 | Harold Cozen | Family Medicine | 1600 Cataluna Place, Pacos Verdes Estates, CA 90274 | 2012-03-21 |
| 1780904540 | Byungwoo Kim | Acupuncturist | Peninsula Center. Ste 50 D, Rolling Hills Estates, CA 90274 | 2010-06-03 |
| 1285966135 | Paula R. Horn | Marriage & Family Therapist | 715 Silver Spur Road, Suite #209, Rolling Hills Estates, CA 90274 | 2010-02-03 |
| 1730416884 | Skinner's Pharmacy Inc | Pharmacy | 905 Deep Valeey Drive, Rollong Hills, CA 90274 | 2009-11-11 |
| Find all providers in zip 90274 | ||||
| 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 |
|---|---|---|---|---|
| 1023223757 | Peter Herwitt | Radiology | 3105 Paseo Del Campo, Palos Verdes Estates, CA 90274-1034 | 2007-05-14 |
| 1740442045 | Anaheim Radiology Medical Group, Inc. | Radiology | 3105 Paseo Del Campo, Palos Verdes Estates, CA 90274-1034 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902116 | Vesta Telemedicine Solutions, Pllc | Radiology | 833 Americana Way Unit 251, Glendale, CA 91210-1538 | 2020-11-04 |
| 1558960161 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38209 47th St E Ste D, Palmdale, CA 93552-3113 | 2020-10-23 |
| 1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
| 1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
| 1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
| 1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
| 1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
| 1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
| 1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
| City | PALOS VERDES ESTATES |
| Zip Code | 90274 |
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.