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MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION
NPI 1275691339
Clinic/Center - Corporate Health in Modesto, CA

Active since December 04, 2006
3508 DALE RD, MODESTO, CA 95356(209) 574-1355(209) 571-8204 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Med-1 Medical Center Professional Corporation NPPES

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

MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION (NPI 1275691339) is a healthcare organization registered as a corporate health in Modesto, California and active in the NPI registry since December 2006. The organization lists Alan Russakov, President, as its authorized official.

NPPES Registry Identity

NPI1275691339
Entity TypeOrganization
Primary Taxonomy261QC1800X
Legal Business NameMED-1 MEDICAL CENTER PROFESSIONAL CORPORATION
Location Address3508 DALE RDModesto, CA 95356-0552
Mailing Address3508 Dale RdModesto, CA 95356-0552 · (209) 574-1355 · Fax (209) 571-8204
Phone(209) 574-1355
Fax(209) 571-8204
Organization SubpartNo
Authorized OfficialAlan RussakovPresident · (290) 574-1355
Enumeration DateDecember 4, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1275691339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Corporate HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1800X
License✔ Licensed in CA · G75606
3508 DALE RD, Modesto, CA 95356
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Other Identifiers 20

Other27743CA · 27743
OtherCFE33570CA · Licence Number
Other28332CA · Licence Number
OtherNP13918CA · Licence Number
Other13661CA · Licence Number
Other15489CA · Licence Number
Other26254CA · Licence Number
Other16903CA · Licence Number
OtherA52975CA · Licence Number
OtherDC0167900CA · Licence Number
OtherG66831CA · Licence Number
Other26062CA · Licence Number
OtherFL32707CA · Licence Number
OtherPT23734CA · Licence Number
Other160480CA · Licence Number
Other18301CA · Licence Number
Other25608CA · Licence Number
Other28612CA · Licence Number
OtherG75606CA · Licence Number
OtherG9700CA · Licence Number

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 Med-1 Medical Center Professional Corporation's NPI number?

The NPI number for Med-1 Medical Center Professional Corporation is 1275691339. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Med-1 Medical Center Professional Corporation located?

Med-1 Medical Center Professional Corporation is located at 3508 Dale Rd, Modesto, CA 95356. The listed phone number is (209) 574-1355.

What is Med-1 Medical Center Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Corporate Health, with taxonomy code 261QC1800X.

When was this NPI record last updated?

The NPPES record for Med-1 Medical Center Professional Corporation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.