Specialty Medical Group Central California - Dept of Modesto
NPI 1083858492ActiveOrganization· Pediatrics· Modesto, CA
Pediatrics in Modesto, California, registered in NPPES in April 2009, part of Specialty Medical Group Central California, Inc. The authorized official on file is Devonna M. Kaji, M.D., President/Medical Director.
Overview
| NPI | 1083858492 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Specialty Medical Group Central California, Inc. |
| NPI issued | Apr 29, 2009 |
| Last updated in NPPES | Jun 28, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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