Escalon Physical Medicine, Inc
NPI 1821417866ActiveOrganization· Family Medicine· Modesto, CA
Family Medicine in Modesto, California, registered in NPPES in April 2014. The authorized official on file is John Bystrom, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1821417866 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 7, 2014 |
| Last updated in NPPES | Jan 11, 2023 |
| Certified by provider | Jan 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| General Practice | 208D00000X | A74921 | CA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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