Med Center Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ZZZ37923Z Issued in CA

Legal business name

MED CENTER MEDICAL CLINIC

Practice address

6651 Madison Ave
Carmichael, CA 95608-0602

Phone

(916) 965-1111

Fax

(916) 965-5143

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

John J Champlin, M.D.NPI 1891865408

Title

Owner

Phone

(916) 965-1111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Med Center Medical Clinic, Inc

  • Medical Physician Assistant
  • Fair Oaks, CA
  • NPI 1871769000

  O20040330000701

  Same enrollment

Practitioners 4

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

• John Joseph Champlin, M.D.

  • Family Medicine Physician
  • Carmichael, CA
  • NPI 1891865408
  Medicare reassignment Authorized official
• Amber Emery Esparza, PA-C

  • Medical Physician Assistant
  • Carmichael, CA
  • NPI 1710136833
  Medicare reassignment
• Karanjit Singh Basrai, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Roseville, CA
  • NPI 1790853760
  NPD (past)
• Adora L Matthews, MD

  • Physical Medicine & Rehabilitation Physician
  • Roseville, CA
  • NPI 1659325488
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1174658306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 HOWE AVE",
            "address_2": "SUITE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253363",
            "telephone_number": "916-678-6760",
            "fax_number": "916-678-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 MADISON AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080602",
            "telephone_number": "916-965-1111",
            "fax_number": "916-965-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CENTER MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "CHAMPLIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-965-1111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "ZZZ37923Z",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Hugh McLellan
• Alison McMorris
• Henry E McNeely, M.D.
• Warren R McWilliams III, DDS
• Andrea B Means
• Med Center Medical Clinic
• Med-7 Urgent Care Center Medical Group
• Stephen Joseph Medawar, DPM
• Natalie Mefferd
• Milad Mehrbod, MD

• Family Medicine Physician in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.