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MODESTO RADIOLOGICAL MEDICAL GROUP, INC
NPI 1063953362
Radiology - Diagnostic Radiology in San Francisco, CA

Active since March 20, 2017
1200 4TH ST, APT 103, SAN FRANCISCO, CA 94158(559) 455-4009(916) 533-0313 Get Directions Write a Review

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Modesto Radiological Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODESTO RADIOLOGICAL MEDICAL GROUP, INC (NPI 1063953362) is a healthcare organization registered as a diagnostic radiology in San Francisco, California and active in the NPI registry since March 2017. The organization lists Mark E Moore, Cfo/coo, as its authorized official.

NPPES Registry Identity

NPI1063953362
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMODESTO RADIOLOGICAL MEDICAL GROUP, INC
Location Address1200 4TH ST, APT 103San Francisco, CA 94158-2392
Mailing AddressPo Box 7326San Francisco, CA 94120-7326 · (559) 455-4009 · Fax (916) 533-0313
Phone(559) 455-4009
Fax(916) 533-0313
Organization SubpartNo
Authorized OfficialMark E MooreCfo/coo · (559) 455-4009
Enumeration DateMarch 20, 2017
✔ NPI 1063953362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1200 4TH ST, San Francisco, CA 94158
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Modesto Radiological Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

101

Medicare enrollment records show 101 clinicians reassign Medicare billing to Modesto Radiological Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Diagnostic Radiology91
Interventional Radiology8
Neurosurgery1
Nuclear Medicine1

Nearest to this location (20)

See all 101
Tae Ro, M.D.
Diagnostic Radiology
NPI 1952750739
505 PARNASSUS AVE FL 3
San Francisco, CA 94143
(415) 353-2887
✔ PECOS✔ Accepts Medicare3.8 mi
Kai-Yin See, MD
Diagnostic Radiology
NPI 1003246869
KAISER PERMANENTE RADIOLOGY DEPT OFFICE 1666 2500 MERCED STREET
San Leandro, CA 94577
(510) 454-1000
✔ PECOS✔ Accepts Medicare13 mi
Donald Widder
Diagnostic Radiology
NPI 1033287529
2500 ALHAMBRA AVE
Martinez, CA 94553
(925) 370-5110
✔ PECOS✔ Accepts Medicare21 mi
Anthony Gordon, MD
Diagnostic Radiology
NPI 1912968041
165 ROWLAND WAY STE 208
Novato, CA 94945
(415) 429-4225
✔ PECOS✔ Accepts Medicare24 mi
Quazi Al-Tariq, M.D.
Diagnostic Radiology
NPI 1003059395
300 PASTEUR DR
Stanford, CA 94305
(650) 723-4000
✔ PECOS✔ Accepts Medicare26 mi
T Singh, MD
Diagnostic Radiology
NPI 1376533133
300 PASTEUR DR
Stanford, CA 94305
(650) 723-4000
✔ PECOS✔ Accepts Medicare26 mi
Ingo Rencken, M.D.
Diagnostic Radiology
NPI 1265456776
501 PETALUMA AVE
Sebastopol, CA 95472
(707) 829-4360
✔ PECOS✔ Accepts Medicare49 mi
Jeffrey Brown, M.D.
Diagnostic Radiology
NPI 1841636321
4860 Y ST STE 3100
Sacramento, CA 95817
(916) 703-2273
✔ PECOS✔ Accepts Medicare73 mi
Xiaopei Chen, M.D.
Diagnostic Radiology
NPI 1144517137
2315 STOCKTON BLVD
Sacramento, CA 95817
(916) 703-2273
✔ PECOS✔ Accepts Medicare74 mi
Nha Tran, M.D.
Diagnostic Radiology
NPI 1255539326
2801 K STREET SUITE 502
Sacramento, CA 95816
(916) 733-4400
✔ PECOS✔ Accepts Medicare75 mi
Jocelyn Espiritu, M.D.
Nuclear Medicine
NPI 1104818137
1441 FLORIDA AVE
Modesto, CA 95350
(209) 576-3735
✔ PECOS✔ Accepts Medicare77 mi
Robert Fetz, M.D.
Diagnostic Radiology
NPI 1306869177
1524 MCHENRY AVE SUITE 100
Modesto, CA 95350
(209) 577-4444
✔ PECOS✔ Accepts Medicare77 mi
Kirsten Gaarder, MD
Diagnostic Radiology
NPI 1437355765
1524 MCHENRY AVE STE 100
Modesto, CA 95350
(209) 342-5920
✔ PECOS✔ Accepts Medicare77 mi
Jerry Grigoropoulos, M.D.
Diagnostic Radiology
NPI 1326085671
1524 MCHENRY AVE SUITE 100
Modesto, CA 95350
(209) 571-6622
✔ PECOS✔ Accepts Medicare77 mi
Richard Haak, M.D.
Interventional Radiology
NPI 1407899909
1524 MCHENRY AVE SUITE 100
Modesto, CA 95350
(209) 577-4444
✔ PECOS✔ Accepts Medicare77 mi
Michael Klieger, MD
Diagnostic Radiology
NPI 1114975588
1524 MCHENRY AVE SUITE 100
Modesto, CA 95350
(209) 571-6622
✔ PECOS✔ Accepts Medicare77 mi
Quoc-Han Nguyen
Diagnostic Radiology
NPI 1013476878
1524 MCHENRY AVE STE 420
Modesto, CA 95350
(209) 577-4444
✔ PECOS✔ Accepts Medicare77 mi
Ajit Nijjar, M.D.
Diagnostic Radiology
NPI 1669412060
1524 MCHENRY AVE SUITE 100
Modesto, CA 95350
(209) 577-4444
✔ PECOS✔ Accepts Medicare77 mi
Paul Ramirez, M.D.
Diagnostic Radiology
NPI 1114248986
1524 MCHENRY AVE SUITE 430
Modesto, CA 95350
(209) 577-4444
✔ PECOS✔ Accepts Medicare77 mi
Thomas Rhodeman, M.D.
Interventional Radiology
NPI 1942241336
1524 MCHENRY AVE SUITE 100
Modesto, CA 95350
(209) 577-4444
✔ PECOS✔ Accepts Medicare77 mi
See all 101 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modesto Radiological Medical Group, Inc's NPI number?

The NPI number for Modesto Radiological Medical Group, Inc is 1063953362. It was assigned to this organization in the NPPES registry on March 20, 2017.

Where is Modesto Radiological Medical Group, Inc located?

Modesto Radiological Medical Group, Inc is located at 1200 4th St Apt 103, San Francisco, CA 94158. The listed phone number is (559) 455-4009.

What is Modesto Radiological Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Modesto Radiological Medical Group, Inc enrolled in Medicare?

Yes. Modesto Radiological Medical Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Modesto Radiological Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 101 clinicians in 4 Medicare specialties reassign their Medicare billing to Modesto Radiological Medical Group, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (91), Interventional Radiology (8) and Neurosurgery (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Modesto Radiological Medical Group, Inc was last updated on March 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.