NPIMap

Individual provider Active NPI

Crisostomo R Baliog Jr., MD

  • Rheumatology Physician
  • Modesto, CA
National Provider Identifier
1932340445
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
C193839 Issued in CA
Practice address
600 Coffee Rd
Modesto, CA 95355-4201
Phone
(209) 550-4755
NPI assigned
Mar 12, 2009
Last updated
May 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LP00779 RI
Internal Medicine Physician 207R00000X 30831 AL
Rheumatology Physician 207RR0500X MD20216 ME
Rheumatology Physician 207RR0500X C193839 CA Primary
Rheumatology Physician 207RR0500X 30831 AL

Addresses

Primary practice location

600 Coffee Rd
Modesto, CA 95355-4201

Mailing address

PO Box 1599
Bangor, ME 04402-1599
Phone (204) 404-8100

Other practice location 1

33 Whiting Hill Rd
Suite 34
Brewer, ME 04412-1021
Phone (207) 973-9887

Other practice location 2

1012 Union St
Bangor, ME 04401-3060
Phone (207) 404-8100

Other practice location 3

1421 Narrow Lane Pkwy
Montgomery, AL 36111-2654
Phone (334) 284-3105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, ME, CA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110829000277 AL Practitioner - Rheumatology 9931379039 Reassigns benefits to 1 organization
I20140826000217 ME Practitioner - RheumatologyPractitioner - Internal Medicine 9931379039
I20250826004432 CA Practitioner - Rheumatology 9931379039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

2505 W Hammer LN
Stockton, CA 95209-2839
Phone (209) 957-7050

2545 W Hammer LN
Stockton, CA 95209-2839
Phone (209) 957-7050

600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211

815 Court St
Jackson, CA 95642-2154

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30831ALMDInternal Medicine Physician
LP00779RIMDInternal Medicine Physician
C193839CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Articularis Healthcare Group Inc. Rheumatology CurrentSince Feb 13, 2025 Accepting new patients
Sutter Valley Medical Foundation Internal Medicine Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Sep 1, 2025 Accepting new patients
Articularis Healthcare Group Inc. Rheumatology CurrentSince Feb 13, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Sep 1, 2025 Accepting new patients
Articularis Healthcare Group Inc. Rheumatology Past Accepting new patients

Locations

1907 S College St
Ste 201
Auburn, AL 36832
Phone (334) 203-6196

1421 Narrow Lane Pkwy
Montgomery, AL 36111
Phone (334) 284-2105

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

250 W Main St
Woodland, CA 95695
Phone (916) 668-6100

2015 2nd Ave
Ste 204
Summerville, SC 29486
Phone (843) 572-4840

Interoperability endpoints

  • Direct secure messaging: cbaliog750725@hisp.ehr.sutterhealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1932340445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1599",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021599",
            "telephone_number": "204-404-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554201",
            "telephone_number": "209-550-4755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Whiting Hill Rd",
            "address_2": "Suite 34",
            "address_purpose": "LOCATION",
            "city": "Brewer",
            "state": "ME",
            "postal_code": "044121021",
            "country_code": "US",
            "telephone_number": "207-973-9887",
            "fax_number": "207-973-9777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1012 Union St",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013060",
            "country_code": "US",
            "telephone_number": "207-404-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1421 Narrow Lane Pkwy",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361112654",
            "country_code": "US",
            "telephone_number": "334-284-3105",
            "fax_number": "334-284-3107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALIOG",
        "first_name": "CRISOSTOMO",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-12",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP00779",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "30831",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "ME",
            "license": "MD20216",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "C193839",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AL",
            "license": "30831",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.