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

Manteca Medical Group, Inc

Organization Family Medicine Physician · NPI 1437113065

Manteca Medical Group, Inc is a Family Medicine Physician in Manteca, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
7
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

1262 E North St
Manteca, CA 95336-4962
Phone: (209) 823-7646
Fax: (209) 824-5374
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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 · Licence C43012 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence A24460 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A54203 (CA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 20A7379 (CA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence G55402 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A51139 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A50060 (CA)

Record details

NPI number1437113065
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terry Croasdale — Cfo/Coo · (209) 823-7646
NPI enumeratedApril 12, 2006
Last updated in NPPESApril 9, 2010
Mailing address1262 E North St, Manteca, CA 95336-4962

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