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MODESTO RADIOLOGICAL MEDICAL GROUP, INC
NPI 1740654912
Radiology - Diagnostic Radiology in San Jose, CA

Active since November 25, 2015
6496 DEER HOLLOW DR, SAN JOSE, CA 95120(559) 455-4009(916) 533-0313 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 27, 2016, Nov 25, 2015 (2 updates tracked since 2015).

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 1740654912) is a healthcare organization registered as a diagnostic radiology in San Jose, California and active in the NPI registry since November 2015. The organization lists Mark Moore, Cfo/coo, as its authorized official.

NPPES Registry Identity

NPI1740654912
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMODESTO RADIOLOGICAL MEDICAL GROUP, INC
Location Address6496 DEER HOLLOW DRSan Jose, CA 95120-1634
Mailing Address1524 Mchenry Ave, Suite 430Modesto, CA 95350-4500 · (559) 455-4009 · Fax (916) 533-0313
Phone(559) 455-4009
Fax(916) 533-0313
Organization SubpartNo
Authorized OfficialMark MooreCfo/coo · (209) 342-5946
Enumeration DateNovember 25, 2015
Last NPPES UpdateJanuary 27, 20162 updates tracked since enumeration
✔ NPI 1740654912 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.
6496 DEER HOLLOW DR, San Jose, CA 95120
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MICHAEL GLENN MYERS MD
Radiology (Diagnostic Radiology)
6496 DEER HOLLOW DR
SAN JOSE, CA 95120
Santa Clara County (888) 318-8900

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 1740654912. It was assigned to this organization in the NPPES registry on November 25, 2015.

Where is Modesto Radiological Medical Group, Inc located?

Modesto Radiological Medical Group, Inc is located at 6496 Deer Hollow Dr, San Jose, CA 95120. 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 January 27, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.