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

Mathuran Sundaramoorthy

Individual provider Internal Medicine Physician · NPI 1982057154

Mathuran Sundaramoorthy is an Internal Medicine in Modesto, California. Qualified in 2016, 10 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
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Practice location Address checks out

2101 Tenaya Dr
Modesto, CA 95354-3930
Phone: (866) 682-4842
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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 A160431 (CA)

Record details

NPI number1982057154
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 22, 2016
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024
Mailing address1114 6th St, Modesto, CA 95354-2203

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Modesto