Organization Active NPI

Madera Community Health Center, Inc.

  • Family Nurse Practitioner
  • Madera, CA
National Provider Identifier
1043440423
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MADERA COMMUNITY HEALTH CENTER, INC.
Practice address
812 W Yosemite Ave
Suite 102
Madera, CA 93637-4588
Phone
(559) 664-3265
Fax
(559) 664-9487
NPI assigned
Jul 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Mrs. Sohaila MojadaddiNPI 1447354733
Title
President
Phone
(559) 664-3265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

812 W Yosemite Ave
Suite 102
Madera, CA 93637-4588

Mailing address

812 W Yosemite Ave
Suite 102
Madera, CA 93637-4588
Phone (559) 664-3265

National Provider Directory

National Provider Directory

Locations

812 W Yosemite Ave
Ste 102
Madera, CA 93637
Phone (559) 664-3265

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1043440423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 W YOSEMITE AVE",
            "address_2": "SUITE 102",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374588",
            "telephone_number": "559-664-3265",
            "fax_number": "559-664-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 W YOSEMITE AVE",
            "address_2": "SUITE 102",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374588",
            "telephone_number": "559-664-3265",
            "fax_number": "559-664-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADERA COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "MOJADADDI",
        "authorized_official_first_name": "SOHAILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-664-3265",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.