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

Modesto Radiological Medical Group

Organization Diagnostic Radiology Physician · NPI 1578937744

Modesto Radiological Medical Group provides Diagnostic Radiology Physician services in Lafayette, California. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

2283 Hidden Pond Ln
Lafayette, CA 94549-1742 Not confirmed with CMS for 10 years — call before visiting
Phone: (559) 455-4009
Fax: (916) 533-0023
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1578937744
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Moore — Cfo/Coo · (209) 342-5946
NPI enumeratedNovember 25, 2015
Last updated in NPPESNovember 25, 2015
Mailing address1524 McHenry Ave, Suite 430, Modesto, CA 95350-4500

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