MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED NPI 1548469174

NPI Information

NPI: 1548469174
Provider Name: MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Doing Business As: MFA MEDICAL GROUP GATEWAY CLINIC
CLIA Number: 05D0957548
Address: 378 W OLIVE AVE
SUITE D
MERCED, CA
ZIP 95348
Phone: (209) 725-7560

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NPI Details

MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED is an obstetrics gynecology in Merced, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED NPI is 1548469174. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mfa Medical Group Gateway Clinic.

The provider's business location address is:

378 W OLIVE AVE
SUITE D
MERCED, CA
ZIP 95348-182
Phone: (209) 725-7560
Fax: (209) 725-7561

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 CLIA number assigned to this NPI record is 05D0957548 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/13/2007 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
1	207V00000X	Obstetrics & Gynecology				Yes

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
1	CS1342	OTHER	GEORGIA	RAILROAD MEDICARE
2	GR0041481	MEDICAID	CALIFORNIA	MEDI-CAL GROUP NUMBER
3	ZZZ18708Z	MEDICARE PIN	CALIFORNIA
4	ZZZ09267Z	OTHER	CALIFORNIA	BLUE SHIELD GROUP NUMBER

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: 3/30/2025

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