MANTECA MEDICAL GROUP, INC – NPI #1437113065
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

MANTECA MEDICAL GROUP, INC is a provider located in MANTECA, CA. NPPES has assigned the NPI number 1437113065 to MANTECA MEDICAL GROUP, INC on April 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 16 years ago on Apr 09, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MANTECA MEDICAL GROUP, INC below.

NPI Profile for
MANTECA MEDICAL GROUP, INC

NPI Number
1437113065
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MANTECA MEDICAL GROUP, INC
Primary location
1262 E NORTH ST
MANTECA, CA 95336-4962
Phone: (209) 823-7646 Fax: (209) 824-5374
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TERRY CROASDALE
CFO/COO
Phone: (209) 823-7646
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
CA A54203
208000000X
- Pediatrics
CA A50060
207V00000X
- Obstetrics & Gynecology
CA 20A7379
207Q00000X
- Family Medicine
CA A24460

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.