Active NPI
Merced Pulmonary Medical Assoc.
- Pulmonary Disease Physician
- Merced, CA
National Provider Identifier
1114968765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- GR0045160
- Legal business name
- MERCED PULMONARY MEDICAL ASSOC.
- Practice address
- 780 W Olive Ave.
Ste 103
Merced, CA 95348 - Phone
- (209) 526-8038
- Fax
- (209) 526-6841
- NPI assigned
- Jun 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nick Maddocks
- Title
- President
- Phone
- (209) 526-8038
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | GR0045160 | CA | Primary |
Addresses
Primary practice location
780 W Olive Ave.
Ste 103
Merced, CA 95348
Mailing address
780 W Olive Ave.
Ste 103
Merced, CA 95348
Phone (209) 723-0783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C41002 | Other | CA | MEDICARE ID |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Merced, CA
- NPI 1962583096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204761600000",
"number": "1114968765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 W OLIVE AVE.",
"address_2": "STE 103",
"city": "MERCED",
"state": "CA",
"postal_code": "95348",
"telephone_number": "209-723-0783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 W OLIVE AVE.",
"address_2": "STE 103",
"city": "MERCED",
"state": "CA",
"postal_code": "95348",
"telephone_number": "209-526-8038",
"fax_number": "209-526-6841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCED PULMONARY MEDICAL ASSOC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2008-03-06",
"status": "A",
"authorized_official_last_name": "MADDOCKS",
"authorized_official_first_name": "NICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "209-526-8038"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "GR0045160",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "C41002",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merced, CA
- Merced Optometry
- Merced Orthopaedic Medical Group, Inc
- Merced Pathology Medical Group, Inc.
- Merced Pharmacy Care Inc
- Merced Physical Therapy and Sports Medicine Rehab LLC
- Merced Radiology Medical Group
- Merced Rescue Mission
- Merced Rescue Mission
- Merced Senior Living Limited Partnership
- Merced SNF Operations LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.