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

Modesto Kidney Medical Group

Organization Nephrology Physician · NPI 1306848569

Modesto Kidney Medical Group is a Nephrology Physician in Modesto, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005

Practice location Address checks out

305 E Granger Ave Ste 202
Modesto, CA 95350-4344
Phone: (209) 526-1606
Fax: (209) 526-1677
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 01031187 02 (CA)

Record details

NPI number1306848569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Meischke — Billing Manager · (541) 706-9073
Other names Itsara And Liu Md'S
NPI enumeratedJune 1, 2005
Last updated in NPPESMarch 29, 2013
Mailing address305 E Granger Ave, Suite 202, Modesto, CA 95350-4345

Other providers in Modesto