Organization Active NPI

Cornerstone Family Medical Group.

  • Family Medicine Physician
  • Modesto, CA
National Provider Identifier
1669578340
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CORNERSTONE FAMILY MEDICAL GROUP.
Practice address
1444 Florida Ave
Suite 202
Modesto, CA 95350-4400
Phone
(209) 524-1264
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Authorized official

Name
Dr. Robert M. McGrew, MD
Title
Director
Phone
(209) 524-1264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1444 Florida Ave
Suite 202
Modesto, CA 95350-4400

Mailing address

1444 Florida Ave
Suite 202
Modesto, CA 95350-4400
Phone (209) 524-1264

Other names 1

  • Cornerstone Family Practice Medical Group Former legal business name

National Provider Directory

National Provider Directory

Locations

1444 Florida Ave
Ste 202
Modesto, CA 95350
Phone (209) 524-1264

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1669578340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 FLORIDA AVE",
            "address_2": "SUITE 202",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504400",
            "telephone_number": "209-524-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 FLORIDA AVE",
            "address_2": "SUITE 202",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504400",
            "telephone_number": "209-524-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE FAMILY MEDICAL GROUP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "MCGREW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "209-524-1264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Family Practice Medical Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.