SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF MODESTO
NPI 1083858492
Pediatrics in Modesto, CA

Active since April 29, 2009
1524 MCHENRY AVE, 570, MODESTO, CA 95350(209) 572-3880(209) 572-3349 Get Directions Write a Review

NPPES record last updated: June 28, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Specialty Medical Group Central California - Dept Of Modesto NPPES

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

SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF MODESTO (NPI 1083858492) is a healthcare organization registered as a pediatrics in Modesto, California and active in the NPI registry since April 2009. The organization lists Devonna M. Kaji, President/medical Director, as its authorized official.

NPPES Registry Identity

NPI1083858492
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF MODESTO
Location Address1524 MCHENRY AVE, 570Modesto, CA 95350-4500
Mailing Address9300 Valley Childrens PlMadera, CA 93636-8761 · (559) 353-5700 · Fax (559) 353-5708
Fax(209) 572-3349
Organization SubpartYesParent: Specialty Medical Group Central California, Inc.
Authorized OfficialDevonna M. KajiPresident/medical Director · (559) 353-5700
Enumeration DateApril 29, 2009
Last NPPES UpdateJune 28, 2013
NPI 1083858492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1524 MCHENRY AVE, Modesto, CA 95350

Other Identifiers 3

Other1013968296CA · Smg Group Main Npi
Medicare PINZZZ13884ZCA
MedicaidGR0078680CA

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1524 MCHENRY AVE, SUITE # 450
MODESTO, CA 95350
Radiology (Diagnostic Radiology)
1524 MCHENRY AVE, SUITE 100
MODESTO, CA 95350
Radiology (Diagnostic Radiology)
1524 MCHENRY AVE
MODESTO, CA 95350
Obstetrics & Gynecology
1524 MCHENRY AVE, SUITE 405
MODESTO, CA 95350
Radiology (Diagnostic Radiology)
1524 MCHENRY AVE, SUITE 430
MODESTO, CA 95350
Radiology (Diagnostic Radiology)
1524 MCHENRY AVE, SUITE 100
MODESTO, CA 95350
Radiology (Diagnostic Radiology)
1524 MCHENRY AVE, SUITE 100
MODESTO, CA 95350
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1524 MCHENRY AVE, SUITE 370
MODESTO, CA 95350

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 Specialty Medical Group Central California - Dept Of Modesto's NPI number?

The NPI number for Specialty Medical Group Central California - Dept Of Modesto is 1083858492. It was assigned to this organization in the NPPES registry on April 29, 2009.

Where is Specialty Medical Group Central California - Dept Of Modesto located?

Specialty Medical Group Central California - Dept Of Modesto is located at 1524 Mchenry Ave 570, Modesto, CA 95350. The listed phone number is (209) 572-3880.

What is Specialty Medical Group Central California - Dept Of Modesto's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Specialty Medical Group Central California - Dept Of Modesto was last updated on June 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.