WESTSIDE MEDICAL GROUP OF MENDOTA INC. (NPI# 1881730661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881730661 |
| Entity Type | Organization |
| Organization Name | WESTSIDE MEDICAL GROUP OF MENDOTA INC. |
| Practice Address |
450 Oller St Suite#101 Mendota CA 93640-2313 |
| Practice Telephone | 5596551000 |
| Mailing Telephone | 5596551000 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2012-09-07 |
| Authorized Official Name | DR. RANDALL G STERN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5596551000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RHM08916F | 05 |
| Street Address |
450 OLLER ST SUITE#101 |
| City | MENDOTA |
| State | CA |
| Zip Code | 93640-2313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275553893 | Robert Mcleod | Physician Assistant | 450 Oller St, Ste 101, Mendota, CA 93640-2382 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243782 | Turning Point of Central California, Inc. | Community/Behavioral Health | 121 Belmont Ave. Ste 300, Mendota, CA 93640 | 2020-07-30 |
| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1912465626 | Gayathri Parameswaran Iyer | Dentist | United Health Centers, 121 Barboza St, Mendota, CA 93640 | 2019-03-12 |
| 1801372594 | Fresno County Superintendent of Schools | Psychologist | 121 Belmont Avenue, Mendota, CA 93640 | 2018-07-16 |
| 1730488180 | Promesa Behavioral Health | Community/Behavioral Health | 1258 E. Belmont Avenue, Mendota, CA 93640 | 2011-03-24 |
| 1689809097 | Fresno County Behavioral Health | Clinic/Center | 121 Barbosa St., Mendota, CA 93640 | 2009-05-29 |
| 1588622542 | James Earl Smurr | Family Medicine | 121 Barboza St, Mendota, CA 93640 | 2006-05-01 |
| 1184606634 | United Health Centers of The San Joaquin Valley | Clinic/Center | 121 Barboza St, Mendota, CA 93640-1901 | 2005-11-18 |
| 1497377048 | Brandon Wong | Physician Assistant | 121 Barboza St, Mendota, CA 93640-1901 | 2020-05-16 |
| 1326604364 | Karen Ashley Merriweather | Dentist | 121 Barboza St, Mendota, CA 93640-1901 | 2019-05-15 |
| Find all providers in zip 93640 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
| 1205383197 | Mendota Community Hospital | Clinic/Center | 1401 Washington Street, Mendota, IL 61342-0001 | 2016-09-08 |
| 1316320849 | Mendota Community Hospital | Clinic/Center | 1405 E 12th St, Mendota, IL 61342-9010 | 2015-07-01 |
| 1225252869 | Firebaugh, Mendota Health Clinics, Inc | Clinic/Center | 507 Oller St, Mendota, CA 93640-2360 | 2007-04-13 |
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| Find all providers with the same taxonomy | ||||
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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.