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MODESTO PHYSICAL MEDICINE
NPI 1821417866
Family Medicine in Modesto, CA

Active since April 07, 2014
1933 COFFEE RD, MODESTO, CA 95355(209) 838-3434(209) 838-7753 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 11, 2023, Dec 14, 2015 (2 updates tracked since 2015).

About Modesto Physical Medicine NPPES

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

MODESTO PHYSICAL MEDICINE (NPI 1821417866) is a healthcare organization registered as a family medicine in Modesto, California and active in the NPI registry since April 2014. The organization lists John Bystrom, Owner, as its authorized official.

NPPES Registry Identity

NPI1821417866
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameESCALON PHYSICAL MEDICINE, INC
Location Address1933 COFFEE RDModesto, CA 95355-2704
Mailing Address1933 Coffee RdModesto, CA 95355-2704 · (209) 838-3434 · Fax (209) 838-7753
Phone(209) 838-3434
Fax(209) 838-7753
Organization SubpartNo
Authorized OfficialJohn BystromOwner · (209) 838-3434
Enumeration DateApril 7, 2014
Last NPPES UpdateJanuary 11, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
✔ NPI 1821417866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral PracticeTaxonomy 208D00000X · License A74921 (CA)
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1933 COFFEE RD, Modesto, CA 95355
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Other Names 1

Doing Business AsModesto Physical Medicine

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Modesto Physical Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Modesto Physical Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

John Bystrom, DC
Chiropractic
NPI 1891850525
1933 COFFEE RD
Modesto, CA 95355
(209) 838-3434
✔ Accepts MedicareSame address
Jose Bazan, FNP-C
Nurse Practitioner
NPI 1437784469
1441 FLORIDA AVE
Modesto, CA 95350
(209) 578-1211
✔ PECOS1.3 mi
Michael Ratliff, MSN RN FNP-C
Nurse Practitioner
NPI 1457008211
1108 WARD AVE
Patterson, CA 95363
(209) 892-1300
✔ PECOS✔ Accepts Medicare16 mi
Jeannette Sandoval
Nurse Practitioner
NPI 1376182402
22101 REDWOOD RD UNIT B UNIT B
Castro Valley, CA 94546
(510) 648-9012
✔ PECOS✔ Accepts Medicare60 mi
Michael Clark, DC
Chiropractic
NPI 1710059035
380 E MAIN ST SUITE E
Lehi, UT 84043
(801) 768-2939
525 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Escalon Physical Medicine, Inc's NPI number?

The NPI number for Escalon Physical Medicine, Inc is 1821417866. It was assigned to this organization in the NPPES registry on April 7, 2014. The provider is doing business as Modesto Physical Medicine.

Where is Escalon Physical Medicine, Inc located?

Escalon Physical Medicine, Inc is located at 1933 Coffee Rd, Modesto, CA 95355. The listed phone number is (209) 838-3434.

What is Escalon Physical Medicine, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Escalon Physical Medicine, Inc enrolled in Medicare?

Yes. Escalon Physical Medicine, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Escalon Physical Medicine, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Escalon Physical Medicine, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Chiropractic (2). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Escalon Physical Medicine, Inc was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.