Modesto Pediatrics

Pediatrics

Modesto Pediatrics is a Modesto, California based Pediatric center with medical specialization in General Pediatrics. It is located at 3109 Coffee Rd, Ste A, Modesto, California - 95355-1766. They can be contacted on phone at 209-522-0001 and fax number 209-549-7077.
NPI number (Unique professional ID) for Modesto Pediatrics is 1366547796 which was assigned by NPPES on 13 Sep, 2006 and it was last updated on 16 Aug, 2011. Modesto Pediatrics license number is G68634 for Pediatrics (208000000X) in California.
Modesto Pediatrics is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Modesto Pediatrics basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Modesto Pediatrics
Business Address:
Modesto Pediatrics 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 :3109 Coffee Rd, Ste A
Modesto, CA, 95355-1766
United States
Phone Number :209-522-0001
Fax Number :209-549-7077
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 : 1366547796
NPI Entity Type : Organization
First Enrolment Date : 13 Sep, 2006
Last Updated On : 16 Aug, 2011
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 :Annmarie Truscello
Authorized Official Credential :MD
Official Title or Position :PRESIDENT
Phone Number :209-522-0001
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 Pediatrics are as mentioned. Primary taxonomy code for Modesto Pediatrics is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsNoG83542CA
208000000XPediatricsYesG68634CA
Legacy Identifiers:
Other legacy medical identifiers of Modesto Pediatrics such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
ZZZ07358ZOtherCABLUE SHIELD GROUP PIN
GR0094690MEDICAIDCA
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 578202
Modesto, CA, 95357-8202
United States
Phone Number :209-522-0001
Fax Number :209-549-7077
Business Location:
Patients can refer following map for directions to Modesto Pediatrics practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.