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

Escalon Physical Medicine, Inc

Organization Family Medicine Physician · NPI 1821417866

Escalon Physical Medicine, Inc is a Family Medicine Physician in Modesto, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
4
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

1933 Coffee Rd
Modesto, CA 95355-2704
Phone: (209) 838-3434
Fax: (209) 838-7753
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X · Licence A74921 (CA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1821417866
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Bystrom — Owner · (209) 838-3434
Other names Modesto Physical Medicine
NPI enumeratedApril 7, 2014
Last updated in NPPESJanuary 11, 2023
Certification dateJanuary 11, 2023
Mailing address1933 Coffee Rd, Modesto, CA 95355-2704

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