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

Last updated

Apr 19, 2011By the provider in NPPES

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, MDNPI 1720166309

Title

Medical Director

Phone

(209) 726-3410

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alireza Mahmoudieh, MD

  • Radiation Oncology Physician
  • Merced, CA
  • NPI 1720166309
  Authorized official Same address or phone

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. (DayOut ADHC - Merced)
• Elder Services, Inc. (DayOut ADHC - Merced)

• 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.