MODESTO RADIOLOGICAL MEDICAL GROUP, INC
NPI 1073969838
Radiology - Diagnostic Radiology in Santa Cruz, CA

Active since May 11, 2016
148 BEACHVIEW AVE, SANTA CRUZ, CA 95060(559) 455-4009(916) 533-0313 Get Directions Write a Review

NPPES record last updated: May 11, 2016. Verified against the NPPES registry weekly; last sync: July 19, 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 1073969838) is a healthcare organization registered as a diagnostic radiology in Santa Cruz, California and active in the NPI registry since May 2016. The organization lists Mark E Moore, Coo, as its authorized official.

NPPES Registry Identity

NPI1073969838
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMODESTO RADIOLOGICAL MEDICAL GROUP, INC
Location Address148 BEACHVIEW AVESanta Cruz, CA 95060-3008
Mailing Address1524 Mchenry Ave, Ste 430Modesto, CA 95350-4500 · (559) 455-4009 · Fax (916) 533-0313
Fax(916) 533-0313
Organization SubpartNo
Authorized OfficialMark E MooreCoo · (209) 342-5946
Enumeration DateMay 11, 2016
NPI 1073969838 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.

148 BEACHVIEW AVE, Santa Cruz, CA 95060

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

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 1073969838. It was assigned to this organization in the NPPES registry on May 11, 2016.

Where is Modesto Radiological Medical Group, Inc located?

Modesto Radiological Medical Group, Inc is located at 148 Beachview Ave, Santa Cruz, CA 95060. 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.

When was this NPI record last updated?

The NPPES record for Modesto Radiological Medical Group, Inc was last updated on May 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.