Organization
AMERICAN SPECIALTY PHYSICIANS GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY JEAN THOMPSON (VP FINANCE/CFO)
(209) 287-6308
Entity
Organization
Contact information
Practice address
700 17TH ST STE 205, MODESTO, CA 95354-1249
(209) 248-7851
(209) 248-7825
Mailing address
700 17TH ST STE 205, MODESTO, CA 95354-1249
(209) 248-7851
(209) 248-7856
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A102350
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
A102350
CA
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
06/18/2017
Last updated
03/19/2026
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