MODESTO RADIOLOGICAL MEDICAL GROUP, INC
NPI 1760856934
Radiology - Diagnostic Radiology in Roseville, CA

Active since November 25, 2015
2132 LYSANDER WAY, ROSEVILLE, CA 95661(559) 455-4009(916) 533-0023 Get Directions Write a Review

NPPES record last updated: November 25, 2015. Verified against the NPPES registry weekly; last sync: August 09, 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 1760856934) is a healthcare organization registered as a diagnostic radiology in Roseville, California and active in the NPI registry since November 2015. The organization lists Mark Moore, Coo/cfo, as its authorized official.

NPPES Registry Identity

NPI1760856934
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMODESTO RADIOLOGICAL MEDICAL GROUP, INC
Location Address2132 LYSANDER WAYRoseville, CA 95661-3220
Mailing Address1524 Mchenry Ave, Suite 430Modesto, CA 95350-4500 · (559) 455-4009 · Fax (916) 533-0023
Fax(916) 533-0023
Organization SubpartNo
Authorized OfficialMark MooreCoo/cfo · (209) 342-5946
Enumeration DateNovember 25, 2015
NPI 1760856934 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.
2132 LYSANDER WAY, Roseville, CA 95661

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

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 1760856934. 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 2132 Lysander Way, Roseville, CA 95661. 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 November 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.