Escalon Physical Medicine, Inc
Family Medicine
1933 Coffee Rd, Modesto
California, 95355-2704
209-838-3434 209-838-7753
Escalon Physical Medicine, Inc is a Family Medicine in Modesto, California. It is located at 1933 Coffee Rd, Modesto and it's customer support contact number is 209-838-3434. The authorized person of Escalon Physical Medicine, Inc is Dr. John Bystrom, MD who is Owner of this DME and his contact number is 209-838-3434. Escalon Physical Medicine, Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Escalon Physical Medicine, Inc is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
DME Supplier Details:
Escalon Physical Medicine, Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Escalon Physical Medicine, Inc |
| Type: | Family Medicine |
| Location: | 1933 Coffee Rd, Modesto,
California, 95355-2704 |
| Phone: | 209-838-3434 |
| Fax: | 209-838-7753 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. John Bystrom |
| Credentials: | MD |
| Position: | Owner |
| Contact Number: | 209-838-3434 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1821417866 |
| NPI Enumeration Date: | 07 Apr, 2014 |
| NPI Last Update On: | 11 Jan, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Escalon Physical Medicine, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Family Medicine | | | Primary | |
| General Practice | A74921 | California | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Family | | | Secondary | |
Medicare Enrollment:
Escalon Physical Medicine, Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4880918192 | O20150115000125 | Escalon Physical Medicine Inc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 4880918192 | O20150813011815 | Escalon Physical Medicine Inc | DME SUPPLIER - PHYSICIAN - UNKNOWN PHYSICIAN SPECIALTY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1933 Coffee Rd,
Modesto, California |
| Zip: | 95355-2704 |
| Phone Number: | 209-838-3434 |
| Fax Number: | 209-838-7753 |
Patients can reach Escalon Physical Medicine, Inc at
1933 Coffee Rd, Modesto, California or can
call on customer care at 209-838-3434.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.