Active NPI
Neha Mahajan, D.O.
- Pediatrics Physician
- Merced, CA
National Provider Identifier
1114458676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 18347
- Practice address
- 127 W El Portal Dr
Merced, CA 95348-2853 - Phone
- (209) 723-3704
- Fax
- (209) 723-0272
- NPI assigned
- Mar 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | M250-6209-0841 | IL | |
| Pediatrics Physician | 208000000X | 18347 | CA | Primary |
Addresses
Primary practice location
127 W El Portal Dr
Merced, CA 95348-2853
Mailing address
PO Box 3768
Merced, CA 95344-3768
Phone (209) 725-7149
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | neha.mahajan.do.1@3012.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M250-6209-0841 | IL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health | Past | Accepting new patients | |
| Valley Children'S Hospital | Past | Accepting new patients |
Interoperability endpoints
- nmahajan48265@valleychildrens-prd.direct-ci.com
- neha.mahajan.do.1@3012.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Merced, CA
- NPI 1285623256
-
- General Acute Care Hospital
- Merced, CA
- NPI 1518018191
-
- Children's Hospital
- Madera, CA
- NPI 1952312043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1114458676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3768",
"city": "MERCED",
"state": "CA",
"postal_code": "953443768",
"telephone_number": "209-725-7149",
"fax_number": "209-726-0134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 W EL PORTAL DR",
"city": "MERCED",
"state": "CA",
"postal_code": "953482853",
"telephone_number": "209-723-3704",
"fax_number": "209-723-0272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAJAN",
"first_name": "NEHA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-24",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "M250-6209-0841",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "18347",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "neha.mahajan.do.1@3012.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "127 W El Portal Dr",
"city": "Merced",
"state": "CA",
"country_code": "US",
"postal_code": "953482853",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.