El Portal Medical Oncology Inc

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

EL PORTAL MEDICAL ONCOLOGY INC

Practice address

3365 G St Ste 60
Merced, CA 95340-0995

Phone

(209) 726-3410

Fax

(209) 726-3371

NPI assigned

Apr 19, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alireza A Mahmoudieh, MD

Title

Medical Director

Phone

(209) 726-3410

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1013208446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 G ST STE 60",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400995",
            "telephone_number": "209-726-3410",
            "fax_number": "209-726-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 G ST STE 60",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400995",
            "telephone_number": "209-726-3410",
            "fax_number": "209-726-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PORTAL MEDICAL ONCOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "MAHMOUDIEH",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "209-726-3410",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Edmonds, RN, BSN, CCM
• Edward Yoo DDS Inc
• Brendan James Edwards
• Kim Eggerud, DNP, FNP-C
• Erik Gregory Ekizian, DC
• El Portal Pharmacy
• El Portal Radiation Oncology Center
• Pramma Elayaperumal
• Elder Services, Inc.
• Elder Services, Inc.

• Hematology & Oncology Physician in Merced, CA
• Providers in Merced, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.