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 1629424486

Modesto Radiological Medical Group, Inc provides Diagnostic Radiology Physician services in San Diego, California. Registered with an NPI since 2016.

In the registry since
2016
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

4525 Yerba Santa Dr
San Diego, CA 92115-1032 Not confirmed with CMS for 10 years — call before visiting
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 number1629424486
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Moore — Coo · (209) 342-5946
NPI enumeratedMay 11, 2016
Last updated in NPPESMay 11, 2016
Mailing address1524 McHenry Ave, Ste 430, Modesto, CA 95350-4500

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