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
Provider Name :Specialty Medical Group Central California - Dept Of Modesto
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
Phone Number :209-572-3880
Fax Number :209-572-3349
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
NPI Entity Type : Organization
First Enrolment Date : 29 Apr, 2009
Last Updated On : 28 Jun, 2013
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
Authorized Official Credential :M.D.
Official Title or Position :PRESIDENT/MEDICAL DIRECTOR
Phone Number :559-353-5700
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 SpecialityPrimaryLicense No.State
208000000XPediatricsYesCA
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.
IdentifierIdentifier TypeStateIssuer
1013968296OtherCASMG GROUP MAIN NPI
GR0078680MEDICAIDCA
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
Phone Number :559-353-5700
Fax Number :559-353-5708
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.