Manteca Medical Group, Inc
NPI 1437113065ActiveOrganization· Internal Medicine· Manteca, CA
Internal Medicine in Manteca, California, registered in NPPES in April 2006. The authorized official on file is Terry Croasdale, M.D., Cfo/Coo.
Overview
| NPI | 1437113065 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 12, 2006 |
| Last updated in NPPES | Apr 9, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | C43012 | CA |
| Family Medicine | 207Q00000X | A24460 | CA |
| Internal Medicine | 207R00000X | A54203 | CA |
| Obstetrics & Gynecology | 207V00000X | 20A7379 | CA |
| Obstetrics & Gynecology | 207V00000X | G55402 | CA |
| Pediatrics | 208000000X | A51139 | CA |
| Pediatrics | 208000000X | A50060 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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