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Manteca Medical Group, Inc

Internal Medicine Physician in Manteca, CA · enumerated 2006 · authorized official Terry Croasdale, Cfo/Coo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1437113065

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Registry record

Entity type Organization (Type 2)
Legal business name Manteca Medical Group, Inc
Practice address 1262 E North St, Manteca, CA, 95336
Phone (209) 823-7646
Fax (209) 824-5374
Enumeration date Apr 12, 2006
Last updated in NPPES Apr 9, 2010

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License A24460 (CA) Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License A54203 (CA) Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License C43012 (CA) Primary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians · License 20A7379 (CA) Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians · License G55402 (CA) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License A51139 (CA) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License A50060 (CA) Secondary

Authorized official

Name Terry Croasdale
Title Cfo/Coo
Phone (209) 823-7646

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-04-09. Verify at npiregistry.cms.hhs.gov.
Where is Manteca Medical Group, Inc located?
The practice location on file with NPPES is in Manteca, CA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-04-09.