Specialty Medical Group Central California - Dept Of Modesto
Pediatrics
Specialty Medical Group Central California - Dept Of Modesto is a Modesto, California based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1524 Mchenry Ave, 570, Modesto, California - 95350-4500. They can be contacted on phone at
209-572-3880 and fax number 209-572-3349.
NPI number (Unique professional ID) for Specialty Medical Group Central California - Dept Of Modesto is
1083858492 which was assigned by NPPES on 29 Apr, 2009 and it was last updated on 28 Jun, 2013.
Specialty Medical Group Central California - Dept Of Modesto 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:
Specialty Medical Group Central California - Dept Of Modesto basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Specialty Medical Group Central California - Dept Of Modesto |
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Business Address:
Specialty Medical Group Central California - Dept Of Modesto 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 : | 1524 Mchenry Ave, 570
Modesto, CA, 95350-4500
United States |
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| Phone Number : | 209-572-3880 |
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| Fax Number : | 209-572-3349 |
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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 : | 1083858492 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 29 Apr, 2009 |
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| Last Updated On : | 28 Jun, 2013 |
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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 : | Devonnam. Kaji |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT/MEDICAL DIRECTOR |
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| Phone Number : | 559-353-5700 |
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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 Specialty Medical Group Central California - Dept Of Modesto are as mentioned. Primary taxonomy code for Specialty Medical Group Central California - Dept Of Modesto is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | CA |
Legacy Identifiers:
Other legacy medical identifiers of Specialty Medical Group Central California - Dept Of Modesto such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1013968296 | Other | CA | SMG GROUP MAIN NPI |
| GR0078680 | 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 : | 9300 Valley Childrens Pl
Madera, CA, 93636-8761
United States |
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| Phone Number : | 559-353-5700 |
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| Fax Number : | 559-353-5708 |
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Business Location:
Patients can refer following map for directions to
Specialty Medical Group Central California - Dept Of Modesto 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.