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

Hospitalists of Modesto Medical Group Inc

Organization Internal Medicine Physician · NPI 1821190711

Hospitalists of Modesto Medical Group Inc is an Internal Medicine Physician in Modesto, California. Works from 2 locations. Licensed in California.

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

1441 Florida Ave
Modesto, CA 95350-4405
Phone: (209) 576-3525
Fax: (209) 729-4008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 825 Delbon Avenue, Turlock, CA 95382-2016 — (209) 576-3525

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence G42269 (CA)

Record details

NPI number1821190711
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Wallace — Ceo · (209) 576-3525
NPI enumeratedSeptember 2, 2006
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025
Mailing address1700 McHenry Avenue, Ste 65b #259, Modesto, CA 95350-4333

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