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

Manteca Medical Group, Inc

Organization Family Medicine Physician · NPI 1437113065

Manteca Medical Group, Inc provides Family Medicine Physician services in Manteca, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
7
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

1262 E North St
Manteca, CA 95336-4962 Not confirmed with CMS for 16 years — call before visiting
Phone: (209) 823-7646
Fax: (209) 824-5374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence C43012 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence A24460 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A54203 (CA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 20A7379 (CA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence G55402 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A51139 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A50060 (CA)

Record details

NPI number1437113065
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terry Croasdale — Cfo/Coo · (209) 823-7646
NPI enumeratedApril 12, 2006
Last updated in NPPESApril 9, 2010
Mailing address1262 E North St, Manteca, CA 95336-4962

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