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STANISLAUS CARDIOLOGY GROUP
NPI 1902828841
Specialist in Modesto, CA

Active since July 23, 2006
3621 FOREST GLENN DR, MODESTO, CA 95355(209) 521-9661(209) 521-9307 Get Directions Write a Review

NPPES record last updated: April 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stanislaus Cardiology Group NPPES

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

STANISLAUS CARDIOLOGY GROUP (NPI 1902828841) is a healthcare organization registered as a specialist in Modesto, California and active in the NPI registry since July 2006. The organization lists Kent Hon-wah Wong, Partner, as its authorized official.

NPPES Registry Identity

NPI1902828841
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSTANISLAUS CARDIOLOGY GROUP
Location Address3621 FOREST GLENN DRModesto, CA 95355-1339
Mailing Address3621 Forest Glenn DrModesto, CA 95355-1339 · (209) 521-9661 · Fax (209) 521-9307
Phone(209) 521-9661
Fax(209) 521-9307
Organization SubpartNo
Authorized OfficialKent Hon-wah WongPartner · (209) 521-9661
Enumeration DateJuly 23, 2006
Last NPPES UpdateApril 20, 2016
✔ NPI 1902828841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · FNP 30072
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3621 FOREST GLENN DR, Modesto, CA 95355
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Other Identifiers 2

Medicaid1902828841CA
Medicare PINZZZ23413ZCA

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 6

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

MS. MIMSIE M FARRAR N.P.
Nurse Practitioner (Family)
3621 FOREST GLENN DR
MODESTO, CA 95355
Stanislaus County (209) 521-7411
MR. RAJESH KUMAR DUBEY M.D.
Internal Medicine (Cardiovascular Disease)
3621 FOREST GLENN DR
MODESTO, CA 95355
Stanislaus County (209) 521-9661
MADALYNN JOY BAKER
Nurse Practitioner
3621 FOREST GLENN DR
MODESTO, CA 95355
Stanislaus County (209) 521-7411
MR. KENT HON-WAH WONG MD
Internal Medicine (Cardiovascular Disease)
3621 FOREST GLENN DR
MODESTO, CA 95355
Stanislaus County (209) 521-9661
DR. JOYDEV ACHARYA MD
Specialist
3621 FOREST GLENN DR
MODESTO, CA 95355
Stanislaus County (209) 521-9661
MR. HASSAN MOHAMED HUSSAIN MD
Internal Medicine (Cardiovascular Disease)
3621 FOREST GLENN DR
MODESTO, CA 95355
Stanislaus County (209) 521-9661

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 Stanislaus Cardiology Group's NPI number?

The NPI number for Stanislaus Cardiology Group is 1902828841. It was assigned to this organization in the NPPES registry on July 23, 2006.

Where is Stanislaus Cardiology Group located?

Stanislaus Cardiology Group is located at 3621 Forest Glenn Dr, Modesto, CA 95355. The listed phone number is (209) 521-9661.

What is Stanislaus Cardiology Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Stanislaus Cardiology Group was last updated on April 20, 2016. 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.