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

Scenic Faculty Medical Group, Inc

Organization Family Medicine Physician · NPI 1275559411

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

Licensed in
CA
In the registry since
2006
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

1031 15th St Ste 6
Modesto, CA 95354-1131
Phone: (209) 567-2361
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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 (CA)

Record details

NPI number1275559411
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Simpson — Credentialing Manager · (209) 567-2361
NPI enumeratedJuly 14, 2006
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address1031 15th St Ste 6, Modesto, CA 95354-1131

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