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Modesto Neonatal Medical Group, Inc.

Neonatal-Perinatal Medicine Physician in Modesto, CA · enumerated 2007 · authorized official Gina Wallace, Billing Agent.

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

National Provider Identifier

1912197294

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Registry record

Entity type Organization (Type 2)
Legal business name Modesto Neonatal Medical Group, Inc.
Practice address 1441 Florida Ave, Modesto, CA, 95350
Phone (209) 571-8330
Enumeration date Aug 1, 2007
Last updated in NPPES Aug 1, 2007

Taxonomy & classification

2080N0001X Neonatal-Perinatal Medicine Physician Allopathic & Osteopathic Physicians · License 39491 (CA) Primary

Authorized official

Name Gina Wallace
Title Billing Agent
Phone (209) 571-8330

Other identifiers

Identifier Type State Issuer
ZZZ39491Z Other CA BLUE SHIELD
GR0090580 Medicaid CA -

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

What is the NPI number for Modesto Neonatal Medical Group, Inc.?
The NPI for Modesto Neonatal Medical Group, Inc. is 1912197294, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Modesto Neonatal Medical Group, Inc.?
NPPES lists Gina Wallace (Billing Agent) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-08-01.