Organization Active NPI

C & a Medical Group Corp

  • Internal Medicine Physician
  • Vacaville, CA
National Provider Identifier
1184295198
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
C & A MEDICAL GROUP CORP
Practice address
3000 Alamo Dr Ste 102
Vacaville, CA 95687-6345
Phone
(707) 567-3288
NPI assigned
Jul 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Authorized official

Name
Mehdi Azadi, MD.NPI 1679788723
Title
Ceo
Phone
(707) 567-3288

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3000 Alamo Dr Ste 102
Vacaville, CA 95687-6345

Mailing address

3000 Alamo Dr Ste 102
Vacaville, CA 95687-6345
Phone (707) 567-3288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210826002230 CA Part B Supplier - Clinic/Group Practice 0345645453 Receives reassigned benefits from 1 practitioner
Practice locations: Vacaville, CA

National Provider Directory

National Provider Directory

Locations

3000 Alamo Dr
Ste 102
Vacaville, CA 95687
Phone (707) 330-5535

Practitioners & affiliated clinicians

Practitioners 1

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": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1184295198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ALAMO DR STE 102",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876345",
            "telephone_number": "707-567-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ALAMO DR STE 102",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876345",
            "telephone_number": "707-567-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & A MEDICAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "AZADI",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-567-3288",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.