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

Modesto Radiological Medical Group, Inc

Organization Diagnostic Radiology Physician · NPI 1255872552

Modesto Radiological Medical Group, Inc provides Diagnostic Radiology Physician services in Simi Valley, California. Registered with an NPI since 2017.

In the registry since
2017
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

3421 Deep Waters Ct
Simi Valley, CA 93065-0587
Phone: (559) 455-4009
Fax: (916) 533-0313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1255872552
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Moore — Cfo/Coo · (559) 455-4009
NPI enumeratedMarch 20, 2017
Last updated in NPPESMarch 20, 2017
Mailing addressPo Box 7326, San Francisco, CA 94120-7326

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