Merced Faculty Associates Medical Group Incorporated | |
127 W El Portal Dr Merced CA 95348-2853 | |
(209) 723-3704 | |
(209) 723-0272 |
Full Name | Merced Faculty Associates Medical Group Incorporated |
---|---|
Speciality | Family Medicine |
Location | 127 W El Portal Dr, Merced, California |
Authorized Official Name and Position | Rebecca L Shaw (CEO) |
Authorized Official Contact | 2097231920 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Merced Faculty Associates Medical Group Incorporated Po Box 3768 Merced CA 95344-3768 Ph: (209) 725-7149 | Merced Faculty Associates Medical Group Incorporated 127 W El Portal Dr Merced CA 95348-2853 Ph: (209) 723-3704 |
NPI Number | 1285623256 |
---|---|
Provider Enumeration Date | 10/20/2005 |
Last Update Date | 01/06/2020 |
Medicare PECOS PAC ID | 4789678111 |
---|---|
Medicare Enrollment ID | O20040409000199 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285623256 | NPI | - | NPPES |
GR0041480 | Medicaid | CA | |
ZZZ28927Z | Other | CA | BLUE SHIELD PROVIDER NUMB |
CS1342 | Other | GA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Brian J Vierra |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1659483154 PECOS PAC ID: 1951297100 Enrollment ID: I20040224001264 |
Provider Name | Charlie Loc Kano |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003927567 PECOS PAC ID: 7719954759 Enrollment ID: I20040913000502 |
Provider Name | Brian K Sugimoto |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700814902 PECOS PAC ID: 8527035567 Enrollment ID: I20041229000999 |
Provider Name | Jagadeesh K Reddy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538199104 PECOS PAC ID: 2668410390 Enrollment ID: I20050421001482 |
Provider Name | Dirk Harmen Mous |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1538262522 PECOS PAC ID: 9830133701 Enrollment ID: I20060324000339 |
Provider Name | Leonard Mark Oestreicher |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033212022 PECOS PAC ID: 5294779161 Enrollment ID: I20060324000358 |
Provider Name | Afnan A Qadeer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083728794 PECOS PAC ID: 4587660816 Enrollment ID: I20061010000610 |
Provider Name | Peter P. Herr |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1801015250 PECOS PAC ID: 1254426265 Enrollment ID: I20071005000506 |
Provider Name | Jared A Paskin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063523595 PECOS PAC ID: 0648342287 Enrollment ID: I20080626000488 |
Provider Name | James R Rabago |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467563445 PECOS PAC ID: 3072580018 Enrollment ID: I20080626000597 |
Provider Name | Twylla R Cox-sugimoto |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245342864 PECOS PAC ID: 8921170457 Enrollment ID: I20080627000526 |
Provider Name | Albert P Col |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952411266 PECOS PAC ID: 2365419306 Enrollment ID: I20080709000741 |
Provider Name | Theresa A Schill |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073625646 PECOS PAC ID: 5890762835 Enrollment ID: I20080712000170 |
Provider Name | John B Paik-tesch |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912019563 PECOS PAC ID: 2264409200 Enrollment ID: I20080714000170 |
Provider Name | Maiya D Thao |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1104920297 PECOS PAC ID: 1850467937 Enrollment ID: I20080915000324 |
Provider Name | Frank W Hubbell |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205099918 PECOS PAC ID: 7416016928 Enrollment ID: I20090429000700 |
Provider Name | Muhammad Shabbir |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285879338 PECOS PAC ID: 2466506621 Enrollment ID: I20090821000612 |
Provider Name | Thavalinh Mark Sphabmixay |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841445277 PECOS PAC ID: 9931392339 Enrollment ID: I20101018001172 |
Provider Name | Grant Medefind |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437366069 PECOS PAC ID: 2466633276 Enrollment ID: I20110228000617 |
Provider Name | Noshaba R Chughtai |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538458591 PECOS PAC ID: 4082882444 Enrollment ID: I20110729000586 |
Provider Name | Robin Arguelles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699828913 PECOS PAC ID: 0840446860 Enrollment ID: I20120807000791 |
Provider Name | Lesley Xiong |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871723858 PECOS PAC ID: 3678720059 Enrollment ID: I20120821000451 |
Provider Name | Nancy Lynne Keeler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427100320 PECOS PAC ID: 6002067592 Enrollment ID: I20121109000201 |
Provider Name | Anna M Medefind |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1154626398 PECOS PAC ID: 8224278155 Enrollment ID: I20130717000245 |
Provider Name | Oscar Vladimir Ramos |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144622762 PECOS PAC ID: 7113241274 Enrollment ID: I20150120000919 |
Provider Name | Kristen Lea Fortin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487018784 PECOS PAC ID: 2365735081 Enrollment ID: I20160718002321 |
Provider Name | Marvi Miranda |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609265602 PECOS PAC ID: 5294020517 Enrollment ID: I20160825002665 |
Provider Name | David Silveira |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518332741 PECOS PAC ID: 9133416522 Enrollment ID: I20160928002838 |
Provider Name | Charlotte Diana Vang |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1700867785 PECOS PAC ID: 2961584412 Enrollment ID: I20161018002992 |
Provider Name | Xue Yang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487190153 PECOS PAC ID: 4981980810 Enrollment ID: I20170407001479 |
Provider Name | William Milton Entwistle |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891174785 PECOS PAC ID: 0244588200 Enrollment ID: I20180807003562 |
Provider Name | Elaiza Jazmyn Duran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639591142 PECOS PAC ID: 1052660677 Enrollment ID: I20180815001689 |
Provider Name | Alexandra Noelle Jones-smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154821213 PECOS PAC ID: 0547512212 Enrollment ID: I20181008000810 |
Provider Name | Mandeep Singh Uppal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447720966 PECOS PAC ID: 3274874433 Enrollment ID: I20190416002535 |
Provider Name | Andrea Naomi Heyn |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194159319 PECOS PAC ID: 8022239441 Enrollment ID: I20190605002369 |
Provider Name | Zoe Alexandra Anaman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326400532 PECOS PAC ID: 8426348624 Enrollment ID: I20190805002552 |
Provider Name | James Dennis Mccabe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821642968 PECOS PAC ID: 7416285440 Enrollment ID: I20190828002765 |
Provider Name | Neha Mahajan |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1114458676 PECOS PAC ID: 7113340852 Enrollment ID: I20200714000599 |
Provider Name | Gurpreet Singh Dhillon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922662410 PECOS PAC ID: 7911378039 Enrollment ID: I20230126003118 |
Mfa G Street Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3393 G St, Suite C, Merced, CA 95340 Phone: 209-725-7149 | |
Parminder S Sidhu Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3850 G St, Merced, CA 95340 Phone: 029-661-4403 | |
Roger L. Fife, M.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 780 West Olive Avenue, Suite 104, Merced, CA 95348 Phone: 209-723-9879 Fax: 209-384-9027 | |
Gettysburg Medical Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 W Main St, Merced, CA 95340 Phone: 209-725-2060 Fax: 209-725-2072 | |
Mfa Parkside Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 W 25th St, Merced, CA 95340 Phone: 209-722-9066 Fax: 209-383-1522 | |
Bhrs The-center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E 13th St Ste B, Merced, CA 95341 Phone: 209-381-6800 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 378 W Olive Ave, Merced, CA 95348 Phone: 209-381-4104 Fax: 209-384-3966 |