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Stanislaus Cardiology Group

Stanislaus Cardiology Group is a healthcare organization registered as Specialist in Modesto, CA, holding Type 2 (organization) NPI 1902828841 since 2006. The authorized official on file is Kent Wong, Partner.

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NPI 1902828841
Entity type Organization (Type 2)
Legal business name Stanislaus Cardiology Group
Practice address 3621 FOREST GLENN DR, Modesto, CA, 95355
Phone 2095219661
Fax 2095219307
Enumeration date 2006-07-23
Last updated in NPPES 2016-04-20

Authorized official

Name Kent Wong
Title Partner
Phone 2095219661

Taxonomy & classification

Taxonomy code Specialty Primary License State
174400000X Specialist Primary FNP 30072 CA

Other identifiers

Identifier Type State Issuer
1902828841 Medicaid CA
Copy-ready billing details
Provider: Stanislaus Cardiology Group
NPI: 1902828841
Taxonomy: 174400000X (Specialist)
Address: 3621 FOREST GLENN DR, Modesto, CA, 95355

Providers at this address

NPI Name Type Specialty Location
1801898044 Joydev Acharya Individual Specialist Modesto, CA
1962485938 Hassan Hussain Individual Cardiovascular Disease Physician Modesto, CA
1225011299 Rajesh Dubey Individual Cardiovascular Disease Physician Modesto, CA
1386628212 Kent Wong Individual Cardiovascular Disease Physician Modesto, CA
1114040029 Mimsie Farrar Individual Family Nurse Practitioner Modesto, CA
1255996096 Madalynn Baker Individual Nurse Practitioner Modesto, CA

Verify this record

Cross-check NPI 1902828841 against the authoritative CMS record: view Stanislaus Cardiology Group on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

What type of organization is Stanislaus Cardiology Group?
Stanislaus Cardiology Group is registered in NPPES as a Specialist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-04-20.