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MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED NPI 1538300660


NPI Information

NPI: 1538300660
Provider Name: MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED

Doing Business As: EL PORTAL MEDICAL ONCOLOGY CENTER

Classification: Clinic/Center - 261QX0200X
Entity Type: Organization

Specialization: Oncology

Address:
3365 G ST
MERCED, CA
ZIP 95340
Phone: (209) 726-3410
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MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED is an oncology clinic center in Merced, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED NPI is 1538300660. The provider is registered as an organization entity type.
The provider Is Doing Business As El Portal Medical Oncology Center.

The provider's business location address is:

3365 G ST
MERCED, CA
ZIP 95340-994
Phone: (209) 726-3410
Fax: (209) 726-3371

The provider's authorized official is Rebecca Shaw .
The authorized official title is Ceo and has the following contact phone number (209) 723-1920.

The enumeration date for this NPI number is 3/19/2009 and was last updated on 7/15/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QX0200XClinic/CenterOncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZ57772YOTHERCALIFORNIABLUE SHIELD PIN
21538300660MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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