1. Home
  2. Directory
  3. California
  4. Modesto
  5. Specialist
  6. NPI Profile

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: October 18, 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
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stanislaus Cardiology Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Stanislaus Cardiology Group, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Joydev Acharya, MD
Cardiovascular Disease (Cardiology)
NPI 1801898044
3621 FOREST GLENN DR
Modesto, CA 95355
(209) 521-9661
✔ PECOS✔ Accepts Medicare0.1 mi
Madalynn Baker
Nurse Practitioner
NPI 1255996096
3621 FOREST GLENN DR
Modesto, CA 95355
(209) 521-7411
✔ PECOS0.1 mi
Hassan Hussain, MD
Cardiovascular Disease (Cardiology)
NPI 1962485938
3621 FOREST GLENN DR
Modesto, CA 95355
(209) 521-9661
✔ PECOS✔ Accepts Medicare0.1 mi
Kent Wong, MD
Cardiovascular Disease (Cardiology)
NPI 1386628212
3621 FOREST GLENN DR
Modesto, CA 95355
(209) 521-9661
✔ PECOS✔ Accepts Medicare0.1 mi
Rajesh Dubey, M.D.
Cardiovascular Disease (Cardiology)
NPI 1225011299
3621 FOREST GLENN DR
Modesto, CA 95355
(209) 521-9661
✔ PECOS✔ Accepts Medicare0.1 mi
Mutahir Khan, M.D.
Cardiovascular Disease (Cardiology)
NPI 1164734489
1401 SPANOS CT SUITE 230
Modesto, CA 95355
(209) 522-9863
✔ PECOS✔ Accepts Medicare1.4 mi
Katherine Boone
Nurse Practitioner
NPI 1568848729
4335 N STAR WAY STE A
Modesto, CA 95356
(209) 342-5125
✔ PECOS1.8 mi
Maereg Wassie, M.D
Interventional Cardiology
NPI 1730533506
9898 GENESEE AVE
La Jolla, CA 92037
(858) 824-5222
✔ PECOS✔ Accepts Medicare393 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 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.

Is Stanislaus Cardiology Group enrolled in Medicare?

Yes. Stanislaus Cardiology Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stanislaus Cardiology Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Stanislaus Cardiology Group. 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 Cardiovascular Disease (Cardiology) (5), Nurse Practitioner (2) and Interventional Cardiology (1). Of these, 7 practice 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 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.