Organization Active NPI

Duggal Medical Corporation Inc

  • Family Medicine Physician
  • Modesto, CA
National Provider Identifier
1467772228
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A42295 Issued in CA
Legal business name
DUGGAL MEDICAL CORPORATION INC
Practice address
1401 Spanos CT
Suite #205
Modesto, CA 95355-2810
Phone
(209) 525-3199
Fax
(209) 525-3802
NPI assigned
Jun 3, 2010
Last updated
Sep 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Joann Masterson
Title
Medical Biller
Phone
(209) 525-3199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A42295 CA Primary

Addresses

Primary practice location

1401 Spanos CT
Suite #205
Modesto, CA 95355-2810

Mailing address

1401 Spanos CT Ste 205
Modesto, CA 95355-2813
Phone (209) 525-3199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100616000639 CA Part B Supplier - Clinic/Group Practice 2163552241 Receives reassigned benefits from 2 practitioners
Practice locations: Modesto, CA

National Provider Directory

National Provider Directory

Locations

1401 Spanos Ct
Ste 205
Modesto, CA 95355
Phone (209) 525-3199

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1467772228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SPANOS CT STE 205",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552813",
            "telephone_number": "209-525-3199",
            "fax_number": "209-525-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SPANOS CT",
            "address_2": "SUITE #205",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552810",
            "telephone_number": "209-525-3199",
            "fax_number": "209-525-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUGGAL MEDICAL CORPORATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "MASTERSON",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "209-525-3199",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A42295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.