Modesto Radiological Medical Group, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MODESTO RADIOLOGICAL MEDICAL GROUP, INC.

Practice address

1524 McHenry Ave
Suite 100
Modesto, CA 95350-4500

Phone

(209) 342-5920

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Michael Zeppa, MDNPI 1447287651

Title

President

Phone

(209) 342-5920

Specialties & licenses 4

Addresses

Other identifiers 12

Medicare fee-for-service enrollment

Enrolled in CA, HI, WA, AZ, TX, MD, DC, FL, WY, OR, TN, NE, NV, OK, KS, VA, MA, OH, NY, CO, MI, UT, PA, MS, NJ, PR, GA, IL, LA, VT, WI, KY, DE, AL, NC, IN36 enrollments

Enrollment records 36

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Modesto Radiological Medical Group, Inc

  • Diagnostic Radiology Physician
  • Tracy, CA
  • NPI 1134670656

  2062300239

  Same PAC ID

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Modesto Radiological Medical Group

  • Diagnostic Radiology Physician
  • Lafayette, CA
  • NPI 1578937744

  O20040513000453

  Same enrollment
• Modesto Radiological Medical Group, Inc

  • Diagnostic Radiology Physician
  • San Luis Obispo, CA
  • NPI 1023482296

  O20040513000453

  Same enrollment
• Modesto Radiological Medical Group, Inc

  • Diagnostic Radiology Physician
  • San Francisco, CA
  • NPI 1063953362

  O20040513000453

  Same enrollment
• Modesto Radiological Medical Group, Inc

  • Diagnostic Radiology Physician
  • Santa Cruz, CA
  • NPI 1073969838

  O20040513000453

  Same enrollment
• Modesto Radiological Medical Group, Inc

  • Diagnostic Radiology Physician
  • Tracy, CA
  • NPI 1134670656

  O20040513000453

  Same enrollment
• Modesto Radiological Medical Group, Inc

  • Diagnostic Radiology Physician
  • Carmel, CA
  • NPI 1154808095

  O20040513000453

  Same enrollment
• Modesto Radiological Medical Group, Inc

  • Diagnostic Radiology Physician
  • Simi Valley, CA
  • NPI 1255872552

  O20040513000453

  Same enrollment
• Modesto Radiological Medical Group, Inc

  • Diagnostic Radiology Physician
  • Orange, CA
  • NPI 1265973556

  O20040513000453

  Same enrollment
• Modesto Radiological Medical Group, Inc

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1629424486

  O20040513000453

  Same enrollment
• Modesto Radiological Medical Group, Inc

  • Diagnostic Radiology Physician
  • San Jose, CA
  • NPI 1740654912

  O20040513000453

  Same enrollment
• Modesto Radiological Medical Group, Inc

  • Diagnostic Radiology Physician
  • Roseville, CA
  • NPI 1760856934

  O20040513000453

  Same enrollment
• Modesto Radiological Medical Group, Inc

  • Diagnostic Radiology Physician
  • Palos Verdes Estates, CA
  • NPI 1861866022

  O20040513000453

  Same enrollment

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 207

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Andrew Zeppa, M.D.

  • Diagnostic Radiology Physician
  • Modesto, CA
  • NPI 1447287651

  Body Imaging, CA

  Medicare reassignment Care Compare group NPD Authorized official
• Matthew D. Benedict, M.D.

  • Diagnostic Radiology Physician
  • Long Beach, CA
  • NPI 1528008125

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Armen Choulakian, MD

  • Neurological Surgery Physician
  • Fresno, CA
  • NPI 1861694242

  CA

  Medicare reassignment Care Compare group NPD
• Jonathan Patrick Coll, M.D.

  • Diagnostic Radiology Physician
  • Santa Barbara, CA
  • NPI 1679803977

  Body Imaging, CA

  Medicare reassignment Care Compare group NPD
• Noel Delgado, M.D.

  • Diagnostic Radiology Physician
  • Lakewood, CA
  • NPI 1184120982

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Serge Djukic, MD

  • Diagnostic Radiology Physician
  • Modesto, CA
  • NPI 1992705230

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Brandon C Dugar, D.O.

  • Diagnostic Radiology Physician
  • Twentynine Palms, CA
  • NPI 1760893879

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Philip Eisinger, DO

  • Diagnostic Radiology Physician
  • Long Beach, CA
  • NPI 1750371852

  Diagnostic Radiology, PA

  Medicare reassignment Care Compare group NPD
• Samih Elakkad, M.D.

  • Diagnostic Radiology Physician
  • Long Beach, CA
  • NPI 1134566235

  Diagnostic Radiology, VA

  Medicare reassignment Care Compare group NPD
• Shawna Renee Escobar, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1831307883

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Robert Farrell Jr., MD

  • Diagnostic Radiology Physician
  • Long Beach, CA
  • NPI 1952386476

  Diagnostic Radiology, VA

  Medicare reassignment Care Compare group NPD
• Robert Craig Fetz, M.D.

  • Diagnostic Radiology Physician
  • Modesto, CA
  • NPI 1306869177

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1992747547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 MCHENRY AVE STE 420",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504567",
            "telephone_number": "209-342-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 MCHENRY AVE",
            "address_2": "SUITE 100",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504500",
            "telephone_number": "209-342-5920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 Colorado Ave",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "953822012",
            "country_code": "US",
            "telephone_number": "209-668-5210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 Geer Rd",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "953821147",
            "country_code": "US",
            "telephone_number": "209-669-0600",
            "fax_number": "209-668-4397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1441 Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953504404",
            "country_code": "US",
            "telephone_number": "209-576-3626",
            "fax_number": "209-576-3766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Delbon Ave",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "953822016",
            "country_code": "US",
            "telephone_number": "209-664-2816",
            "fax_number": "209-664-2827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "880 E Tuolumne Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "953821550",
            "country_code": "US",
            "telephone_number": "209-669-4620",
            "fax_number": "866-247-6528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MODESTO RADIOLOGICAL MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "ZEPPA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-342-5920",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ78409Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0043720",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0050090",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ02008Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ72881Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ75541Z",
            "state": "CA"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "GR0043723",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0043724",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0050220",
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "GR0050221",
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "GR0043722",
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "ZZZ72867Z",
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        }
    ],
    "endpoints": [],
    "other_names": []
}

• Modesto Orthopedic Medical Group
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• Modesto Residential Living Center
• Modesto Senior Living Limited Partnership
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• Modesto Specialty Surgery Center, PC

• All providers in Modesto, CA
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.