Escalon Physical Medicine, Inc
NPI 1821417866 · Family Medicine Physician · Modesto, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Escalon Physical Medicine, Inc is a Family Medicine Physician organization in Modesto, CA (NPI 1821417866).
Provider details
- NPI number
- 1821417866
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Bystrom, Owner(209) 838-3434
- License
- A74921 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Suppliers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Modesto Physical Medicine
Registry dates
- Enumerated
- 2014-04-07
- Last updated
- 2023-01-11
- Certified
- 2023-01-11
Frequently asked questions
- What is Escalon Physical Medicine, Inc's NPI number?
- Escalon Physical Medicine, Inc's National Provider Identifier (NPI) is 1821417866, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Escalon Physical Medicine, Inc?
- Escalon Physical Medicine, Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Escalon Physical Medicine, Inc located?
- Escalon Physical Medicine, Inc's practice location on file with NPPES is 1933 Coffee Rd, Modesto, CA 95355-2704.
- What is Escalon Physical Medicine, Inc's phone number?
- The practice phone number listed in the NPPES registry for Escalon Physical Medicine, Inc is (209) 838-3434.
- Does Escalon Physical Medicine, Inc accept Medicare?
- Escalon Physical Medicine, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Escalon Physical Medicine, Inc?
- The authorized official listed on Escalon Physical Medicine, Inc's NPPES record is John Bystrom, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Escalon Physical Medicine, Inc's NPI active?
- Yes — Escalon Physical Medicine, Inc's NPI (1821417866) is active in the NPPES registry as of the last update on 2023-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.