Modesto Neonatal Medical Group, Inc.
Pediatric Neonatal-Perinatal Medicine
Modesto Neonatal Medical Group, Inc. is a Modesto, California based Pediatric center with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
It is located at
1441 Florida Ave, Modesto, California - 95350-4405. They can be contacted on phone at
209-571-8330.
NPI number (Unique professional ID) for Modesto Neonatal Medical Group, Inc. is
1912197294 which was assigned by NPPES on 01 Aug, 2007 and it was last updated on 01 Aug, 2007.
Modesto Neonatal Medical Group, Inc. license number is
39491 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in California.
Modesto Neonatal Medical Group, Inc. is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Modesto Neonatal Medical Group, Inc. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Modesto Neonatal Medical Group, Inc. |
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Business Address:
Modesto Neonatal Medical Group, Inc. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1441 Florida Ave
Modesto, CA, 95350-4405
United States |
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| Phone Number : | 209-571-8330 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1912197294 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 01 Aug, 2007 |
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| Last Updated On : | 01 Aug, 2007 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Gina Wallace |
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| Official Title or Position : | BILLING AGENT |
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| Phone Number : | 209-571-8330 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Modesto Neonatal Medical Group, Inc. are as mentioned. Primary taxonomy code for Modesto Neonatal Medical Group, Inc. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 39491 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Modesto Neonatal Medical Group, Inc. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| ZZZ39491Z | Other | CA | BLUE SHIELD |
| GR0090580 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 577558
Modesto, CA, 95357-7558
United States |
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| Phone Number : | 209-571-8330 |
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| Fax Number : | 209-491-7184 |
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Business Location:
Patients can refer following map for directions to
Modesto Neonatal Medical Group, Inc. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.