Podiatry Center of Merced a Medical Corporation

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3223 Issued in CA

Legal business name

PODIATRY CENTER OF MERCED A MEDICAL CORPORATION

Practice address

3071 College Green Dr Ste B
Merced, CA 95348-3204

Phone

(209) 723-6800

Fax

(209) 723-4333

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Pauline Rose Busa, DPM

Title

Business Owner Doctor

Phone

(209) 723-6800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Pauline Rose Busa Huson, DPM

  • Podiatrist
  • Merced, CA
  • NPI 1932113222
  Medicare reassignment NPD

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1194734764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 COLLEGE GREEN DR STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483204",
            "telephone_number": "209-723-6800",
            "fax_number": "209-723-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 COLLEGE GREEN DR STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483204",
            "telephone_number": "209-723-6800",
            "fax_number": "209-723-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY CENTER OF MERCED A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "BUSA",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "BUSINESS OWNER DOCTOR",
        "authorized_official_telephone_number": "209-723-6800",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Pira
• Robin M Piwowarski, R.N.
• Plainsburg Union Elementary School District
• Planned Parenthood Mar Monte, Inc
• Andraya Diane Plascencia
• Patricia Rocha Ponceano
• Anna Elise Poole
• Michela Rochelle Pope
• Rommy Michelle Porras Blanco, M.D.
• Kharee Porterfield, PTA

• Podiatrist in Merced, CA
• Providers in Merced, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.