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

Greater Modesto Medical Surgical Associates Inc

Organization Dermatology Physician · NPI 1760616270

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

In the registry since
2009
Specialties on file
9
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

1541 Florida Ave Ste 200
Modesto, CA 95350-4429
Phone: (209) 577-3388
Fax: (209) 342-3743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Dermatology Physician Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Gastroenterology Physician Taxonomy 207RG0100X
Otolaryngology Physician Taxonomy 207Y00000X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X
Pediatric Urology Physician Taxonomy 2088P0231X

Record details

NPI number1760616270
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Porteous — Shareholder · (209) 577-3388
Other names McHenry Medical Group
NPI enumeratedMay 12, 2009
Last updated in NPPESOctober 5, 2009
Mailing address1541 Florida Ave, Suite 200, Modesto, CA 95350-4429

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