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MODESTO GASTROENTEROLOGY MEDICAL CORPORATION
NPI 1881748846
Internal Medicine - Gastroenterology in Modesto, CA

Active since January 23, 2007CLIA 05D1036786 · Certificate of Compliance
2336 SYLVAN AVE, SUITE A, MODESTO, CA 95355(209) 338-0292(209) 338-0298 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 27, 2022, Aug 17, 2021, Nov 25, 2020 and 1 more (4 updates tracked since 2015).

About Modesto Gastroenterology Medical Corporation NPPES

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

MODESTO GASTROENTEROLOGY MEDICAL CORPORATION (NPI 1881748846) is a healthcare organization registered as a gastroenterology in Modesto, California and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through January 28, 2028 and lists Elsakr Magdy, President, as its authorized official.

NPPES Registry Identity

NPI1881748846
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameMODESTO GASTROENTEROLOGY MEDICAL CORPORATION
Location Address2336 SYLVAN AVE, SUITE AModesto, CA 95355-9211
Mailing Address2336 Sylvan Ave, Suite AModesto, CA 95355-9211 · (209) 338-0292 · Fax (209) 338-0298
Phone(209) 338-0292
Fax(209) 338-0298
Organization SubpartNo
Authorized OfficialElsakr MagdyPresident · (209) 338-0292
Enumeration DateJanuary 23, 2007
Last NPPES UpdateDecember 27, 20224 updates tracked since enumeration
NPPES CertifiedDecember 27, 2022
✔ NPI 1881748846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · A45724
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2336 SYLVAN AVE, Modesto, CA 95355
Open in Google Maps ↗

Other Identifiers 1

OtherDD2244CA · Medicare Id

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D1036786

Modesto Gastroenterology Medical Corporation · Modesto, CA
Active · expires Jan 28, 2028
CLIA Number05D1036786
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorTed Farzaneh
Laboratory Phone(209) 338-0292
Laboratory LocationModesto Gastroenterology Medical Corporation2336 Sylvan Ave, Ste A, Modesto, CA 95355
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

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

CALVIN M LEE MD
Surgery
2336 SYLVAN AVE, STE C
MODESTO, CA 95355
Stanislaus County (209) 551-1888
DR. MAGDY SHOUKRY ELSAKR M.D.
Specialist
2336 SYLVAN AVE, SUITE A
MODESTO, CA 95355
Stanislaus County (209) 338-0292
TZUYING TAMMY WU MD INC
Specialist
2336 SYLVAN AVE, STE C
MODESTO, CA 95355
Stanislaus County (209) 551-1888
TZUYING TAMMY WU MD
Plastic Surgery
2336 SYLVAN AVE, SUITE C
MODESTO, CA 95355
Stanislaus County (209) 918-0188
SYLVAN SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
2336 SYLVAN AVE, SUITE B
MODESTO, CA 95355
Stanislaus County (209) 338-0393

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 Gastroenterology Medical Corporation's NPI number?

The NPI number for Modesto Gastroenterology Medical Corporation is 1881748846. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Modesto Gastroenterology Medical Corporation located?

Modesto Gastroenterology Medical Corporation is located at 2336 Sylvan Ave Suite A, Modesto, CA 95355. The listed phone number is (209) 338-0292.

What is Modesto Gastroenterology Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Modesto Gastroenterology Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D1036786) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Modesto Gastroenterology Medical Corporation was last updated on December 27, 2022. 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.