# AMERICAN SPECIALTY PHYSICIANS GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568992923
- **Authorized official:** MRS. TAMMY JEAN THOMPSON (VP FINANCE/CFO)
- **Authorized official phone:** (209) 287-6308

## Contact information

- **Practice address:** 700 17TH ST STE 205, MODESTO, CA 95354-1249
- **Practice address phone:** (209) 248-7851
- **Practice address fax:** (209) 248-7825
- **Mailing address:** PO BOX 80893, CITY OF INDUSTRY, CA 91716-8420
- **Mailing address phone:** (877) 346-2211
- **Mailing address fax:** (407) 324-4727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | A102350 | CA | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | A102350 | CA | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |

## Other

- **Enumeration date:** 06/18/2017
- **Last updated:** 09/25/2026