Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Modesto Pediatrics

Organization Pediatrics Physician · NPI 1366547796

Modesto Pediatrics provides Pediatrics Physician services 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 Not confirmed with CMS for 15 years — call before visiting
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