Todd Spencer MD Medical Group, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G702730 Issued in CA

Legal business name

TODD SPENCER MD MEDICAL GROUP, INC.

Practice address

1250 E Almond Ave
Madera, CA 93637-5606

Phone

(559) 675-5436

Fax

(559) 675-9626

NPI assigned

Feb 14, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Melissa M. Oberti

Title

Office Manager

Phone

(559) 675-9281

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023082591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E ALMOND AVE",
            "address_2": "SUITE 101",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375692",
            "telephone_number": "559-675-9281",
            "fax_number": "559-675-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E ALMOND AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375606",
            "telephone_number": "559-675-5436",
            "fax_number": "559-675-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD SPENCER MD MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OBERTI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "559-675-9281",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G702730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0076590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derek S Tipton
• Ruetima Titapiwatanakun, M.D.
• Kevin Tiyaamornwong, PA-C
• Rosanna Tjarks, PHARMD
• Edmund To, DO, MPH
• Todd Spencer MD Medical Group, Inc.
• Andrew Toews
• Juan Miguel Toledo
• David Kenneth Tomajan, MD
• Kirandeep S Toor, M.D

• Specialist in Madera, CA
• Providers in Madera, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.