MODESTO RADIOLOGICAL MEDICAL GROUP, INC
NPI 1255872552
Radiology - Diagnostic Radiology in Simi Valley, CA

Active since March 20, 2017
3421 DEEP WATERS CT, SIMI VALLEY, CA 93065(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: August 02, 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 1255872552) is a healthcare organization registered as a diagnostic radiology in Simi Valley, 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

NPI1255872552
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMODESTO RADIOLOGICAL MEDICAL GROUP, INC
Location Address3421 DEEP WATERS CTSimi Valley, CA 93065-0587
Mailing AddressPo Box 7326San Francisco, CA 94120-7326 · (559) 455-4009 · Fax (916) 533-0313
Fax(916) 533-0313
Organization SubpartNo
Authorized OfficialMark E MooreCfo/coo · (559) 455-4009
Enumeration DateMarch 20, 2017
NPI 1255872552 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.
3421 DEEP WATERS CT, Simi Valley, CA 93065

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 4

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

Radiology (Diagnostic Radiology)
3421 DEEP WATERS CT
SIMI VALLEY, CA 93065
Radiology (Diagnostic Radiology)
3421 DEEP WATERS CT
SIMI VALLEY, CA 93065
Radiology (Diagnostic Radiology)
3421 DEEP WATERS CT
SIMI VALLEY, CA 93065
Radiology (Diagnostic Radiology)
3421 DEEP WATERS CT
SIMI VALLEY, CA 93065

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 1255872552. 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 3421 Deep Waters Ct, Simi Valley, CA 93065. 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 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.