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

Greater Modesto Medical Surgical Associates, Inc

Organization Urology Physician · NPI 1548494974

Greater Modesto Medical Surgical Associates, Inc is an Urology Physician in Manteca, California. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
2
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

200 Cottage Ave Ste 101
Manteca, CA 95336-4935
Phone: (209) 577-3388
Fax: (209) 342-3743
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X
Pediatric Urology Physician Taxonomy 2088P0231X

Record details

NPI number1548494974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Porteous — Shareholder · (209) 577-3388
Other names McHenry Medical Group
NPI enumeratedMay 13, 2009
Last updated in NPPESOctober 5, 2009
Mailing address1541 Florida Ave, Suite 200, Modesto, CA 95350-4429

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