Active NPI
Paul G. McGrew, M.D.
- Family Medicine Physician
- Modesto, CA
National Provider Identifier
1720034614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G42561
- Practice address
- 1444 Florida Ave Ste 200
Modesto, CA 95350 - Phone
- (209) 524-1264
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G42561 | CA | Primary |
Addresses
Primary practice location
1444 Florida Ave Ste 200
Modesto, CA 95350
Mailing address
1444 Florida Ave Ste 200
Modesto, CA 95350-4400
Phone (209) 524-1264
Other practice location 1
1444 Florida Ave
Suite 202
Modesto, CA 95350-4400
Phone (209) 524-1264
Other practice location 2
1444 Florida Ave
Suite 202
Modesto, CA 95350-4400
Phone (209) 524-1264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G42561 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Physician Partners | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Modesto, CA
- NPI 1912264862
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1720034614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1444 FLORIDA AVE STE 200",
"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 STE 200",
"city": "MODESTO",
"state": "CA",
"postal_code": "95350",
"telephone_number": "209-524-1264"
}
],
"practiceLocations": [
{
"address_1": "1444 Florida Ave",
"address_2": "Suite 202",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953504400",
"country_code": "US",
"telephone_number": "209-524-1264",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1444 Florida Ave",
"address_2": "Suite 202",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953504400",
"country_code": "US",
"telephone_number": "209-524-1264",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGREW",
"first_name": "PAUL",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G42561",
"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 May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.