Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Escalon Physical Medicine, Inc

Organization Family Medicine Physician · NPI 1821417866

Escalon Physical Medicine, Inc provides Family Medicine Physician services in Modesto, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1933 Coffee Rd
Modesto, CA 95355-2704
Phone: (209) 838-3434
Fax: (209) 838-7753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X · Licence A74921 (CA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1821417866
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Bystrom — Owner · (209) 838-3434
Other names Modesto Physical Medicine
NPI enumeratedApril 7, 2014
Last updated in NPPESJanuary 11, 2023
Certification dateJanuary 11, 2023
Mailing address1933 Coffee Rd, Modesto, CA 95355-2704

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