MANTECA MEDICAL GROUP, INC
NPI 1437113065
Internal Medicine in Manteca, CA

Q: What is Manteca Medical Group, Inc's NPI number?

The NPI number for Manteca Medical Group, Inc is 1437113065. It was assigned to this organization in the NPPES registry on April 12, 2006.

Q: What is Manteca Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 12, 2006

1262 E NORTH ST, MANTECA, CA 95336(209) 823-7646(209) 824-5374 Get Directions Write a Review

NPPES record last updated: April 9, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Manteca Medical Group, Inc NPPES

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

MANTECA MEDICAL GROUP, INC (NPI 1437113065) is a healthcare organization registered as an internal medicine in Manteca, California and active in the NPI registry since April 2006. The organization lists Terry Croasdale, Cfo/coo, as its authorized official.

NPPES Registry Identity

NPI1437113065

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMANTECA MEDICAL GROUP, INC

Location Address1262 E NORTH STManteca, CA 95336-4962

Mailing Address1262 E North StManteca, CA 95336-4962 · (209) 823-7646 · Fax (209) 824-5374

Phone(209) 823-7646

Fax(209) 824-5374

Organization SubpartNo

Authorized OfficialTerry CroasdaleCfo/coo · (209) 823-7646

Enumeration DateApril 12, 2006

Last NPPES UpdateApril 9, 2010

✔ NPI 1437113065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in CA · C43012✔ Licensed in CA · A54203

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X · License A24460 (CA)

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 20A7379 (CA), G55402 (CA)

Also ListedPediatricsTaxonomy 208000000X · License A51139 (CA), A50060 (CA)

1262 E NORTH ST, Manteca, CA 95336

Open in Google Maps ↗

Other Identifiers 7

Medicare UPINA521440CA

Medicare UPINF39733CA

Medicare UPING96348CA

Medicare UPINF34134CA

Medicare UPINA23990CA

Medicare UPINF33372CA

Medicare UPING21440CA

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 11

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

GREATER MODESTO MEDICAL SURGICAL ASSOCIATES, INC.

Orthopaedic Surgery

1262 E NORTH ST, SUITE B
MANTECA, CA 95336

San Joaquin County (209) 214-7053

DR. TERRY LEE CROASDALE M.D.

Internal Medicine