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

Modesto Radiological Medical Group, Inc

Organization Diagnostic Radiology Physician · NPI 1063953362

Modesto Radiological Medical Group, Inc is a Diagnostic Radiology Physician in San Francisco, California. Registered with an NPI since 2017.

In the registry since
2017
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

1200 4th St Apt 103
San Francisco, CA 94158-2392
Phone: (559) 455-4009
Fax: (916) 533-0313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1063953362
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Moore — Cfo/Coo · (559) 455-4009
NPI enumeratedMarch 20, 2017
Last updated in NPPESMarch 20, 2017
Mailing addressPo Box 7326, San Francisco, CA 94120-7326

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