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

Modesto Pediatrics

Organization Pediatrics Physician · NPI 1366547796

Modesto Pediatrics is a Pediatrics Physician in Modesto, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

3109 Coffee Rd Ste A
Modesto, CA 95355-1766
Phone: (209) 522-0001
Fax: (209) 549-7077
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence G68634 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence G83542 (CA)

Record details

NPI number1366547796
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ann Truscello — President · (209) 522-0001
NPI enumeratedSeptember 13, 2006
Last updated in NPPESAugust 16, 2011
Mailing addressPo Box 578202, Modesto, CA 95357-8202

Other providers in Modesto