MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED (NPI# 1548778954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548778954 |
Entity Type | Organization |
Organization Name | MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED |
Other Organization Name | MFA ATWATER |
Practice Address |
1675 Shaffer Rd Atwater CA 95301-4456 |
Mailing Address |
Po Box 3768 Merced CA 95344-3768 |
Practice Telephone | 2093835500 |
Practice Fax Number | 2093836910 |
Mailing Telephone | 2097257149 |
Mailing Fax Number | 2097260134 |
Enumeration Date | 2018-01-19 |
Last Update Date | 2018-01-19 |
Authorized Official Name | REBECCA SHAW (CEO) |
Authorized Official Telephone | 2097257149 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
MFA Atwater | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215189477 | Merced Faculty Associates Medical Group Incorporated | Family Medicine | 1675 Bellevue Rd, Atwater, CA 95301-2608 | 2008-10-21 |
1518119635 | Merced Faculty Associates Medical Group Incorporated | Clinic/Center | 464 E Yosemite Ave, Suite B, Merced, CA 95340-8489 | 2008-10-21 |
1518167238 | Merced Faculty Associates Medical Group Incorporated | Family Medicine | 378 W Olive Ave Ste B, Merced, CA 95348-3137 | 2007-07-20 |
1619176245 | Merced Faculty Associates Medical Group Incorporated | Family Medicine | 374 W Olive Ave Ste B, Merced, CA 95348-3137 | 2007-07-13 |
1982645354 | Merced Faculty Associates Medical Group Incorporated | Family Medicine | 19901 1st St, Suite 4, Hilmar, CA 95324-9071 | 2006-06-09 |
1285623256 | Merced Faculty Associates Medical Group Incorporated | Family Medicine | 127 W El Portal Dr, Merced, CA 95348-2853 | 2005-10-20 |
1841603107 | Merced Faculty Associates Medical Group Incorporated | Family Medicine | 746 Main St, Livingston, CA 95334-1308 | 2014-06-04 |
1538300660 | Merced Faculty Associates Medical Group Incorporated | Clinic/Center | 3365 G St, Merced, CA 95340-0994 | 2009-03-19 |
1760650402 | Merced Faculty Associates Medical Group Incorporated | Family Medicine | 378 W Olive Ave, Suite A, Merced, CA 95348-3137 | 2008-02-15 |
1699974220 | Merced Faculty Associates Medical Group Incorporated | Family Medicine | 3385 G St Ste A, Merced, CA 95340-0964 | 2007-07-13 |
Street Address |
1675 SHAFFER RD |
City | ATWATER |
State | CA |
Zip Code | 95301-4456 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639291529 | Anberry Physical Rehabilitation Center, Inc | Rehabilitation Unit | 1675 Shaffer Rd, Atwater, CA 95301-4456 | 2007-04-04 |
1699268243 | Altruity Home Health & Hospice LLC | Hospice Care, Community Based | 1675 Shaffer Rd, Atwater, CA 95301-4456 | 2018-06-08 |
1962991604 | Altruity Home Health & Hospice LLC | Hospice Care, Community Based | 1675 Shaffer Rd, Atwater, CA 95301-4456 | 2018-05-08 |
1518332741 | David E Silveira | Social Worker | 1675 Shaffer Rd, Atwater, CA 95301-4456 | 2015-12-14 |
1063807832 | Larry Stephen Gurtel | Physical Therapist | 1675 Shaffer Rd, Atwater, CA 95301-4456 | 2015-03-30 |
1982987129 | Joyce Molag | Physical Therapist | 1675 Shaffer Rd, Atwater, CA 95301-4456 | 2011-09-23 |
1700167467 | Blia Collazo | Physical Therapist | 1675 Shaffer Rd, Atwater, CA 95301-4456 | 2011-09-07 |
1205099918 | Frank William Hubbell Jr. | Social Worker | 1675 Shaffer Rd, Atwater, CA 95301-4456 | 2008-07-03 |
1972780716 | Mildred Irene Jones-keller | Occupational Therapist | 1675 Shaffer Rd, Atwater, CA 95301-4456 | 2008-01-23 |
1205034964 | Merced Faculty Associates Medical Group Incorporated | Family Medicine | 1675 Shaffer Rd, Atwater, CA 95301-4456 | 2007-07-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043731052 | Tlc Non-emergency Medical Transportation | Transportation Broker | 6235 Josie Street, Atwater, CA 95301 | 2017-06-29 |
1740536168 | Richard Adjetey Sewoatsri | Pharmacist | 2511 Boulder Dr, Atwater, CA 95301 | 2012-08-03 |
1396003588 | Muhammad Iqbal Choudhry | Physician Assistant | 1775 Third Street, Atwater, CA 95301 | 2012-04-25 |
1003117185 | Barbara Gatlin | Social Worker | 540 E Bellevue Rd, Atwater, CA 95301 | 2010-11-05 |
1063722635 | Carlos C Say,m..d.inc | Internal Medicine | 329 East Bellevue Rd, Atwater, CA 95301 | 2010-10-18 |
1689851669 | Simplicity of Heart Counseling Service LLC | Family Medicine | 1201 Cedar Avenue, Atwater, CA 95301 | 2008-01-22 |
1154507374 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1651 Bellevue Rd, Atwater, CA 95301 | 2008-01-17 |
1881893600 | Cheryl Anne Assante | Registered Nurse | 6255 W. Camellia Drive, Atwater, CA 95301 | 2007-07-12 |
1669502027 | Atwater Chiropractic, Inc. | Chiropractor | 2601 First Street, Atwater, CA 95301 | 2007-03-06 |
1215002902 | Martin Kinsman Vacca | Pharmacist | 571 Bellevue Rd, Atwater, CA 95301 | 2006-11-21 |
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Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.