MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED NPI 1699974220

NPI Information

  • NPI: 1699974220
  • Provider Name: MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: MFA MEDICAL GROUP @ EL PORTAL
  • CLIA Number: 05D1084846
  • Address: 3385 G ST STE A
    MERCED, CA
    ZIP 95340
  • Phone: (209) 725-3122

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NPI Details

MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED is a family medicine in Merced, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED NPI is 1699974220. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mfa Medical Group @ El Portal.

The provider's business location address is:

3385 G ST STE A
MERCED, CA
ZIP 95340-964
Phone: (209) 725-3122
Fax: (209) 725-3128

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 05D1084846 - 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
1207Q00000XFamily MedicineYes

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
1ZZZ69713ZOTHERCALIFORNIABLUE SHIELD GROUP
2ZZZ16953ZMEDICARE PINCALIFORNIA
3CS1342OTHERGEORGIARAILROAD MEDICARE
4GR0041487MEDICAIDCALIFORNIA

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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