Organization Active NPI

California Forensic Medical Group, Inc.

Doing business as CFMG

  • Custodial Care Facility
  • Merced, CA
National Provider Identifier
1205218005
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
CALIFORNIA FORENSIC MEDICAL GROUP, INC.
Doing business as
CFMG
Practice address
2584 W Sandy Mush Rd
Merced, CA 95341-8713
Phone
(209) 385-7618
Fax
(209) 385-7480
NPI assigned
Jun 29, 2015
Last updated
Jun 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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

Authorized official

Name
Raymond Karl Herr, MD
Title
Chief Medical Officer
Phone
(931) 901-3278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Primary

Addresses

Primary practice location

2584 W Sandy Mush Rd
Merced, CA 95341-8713

Mailing address

2511 Garden Road
Suite A160
Monterey, CA 93940
Phone (831) 649-8994

Other names 1

  • CFMG Doing business as

National Provider Directory

National Provider Directory
Tax ID family
California Forensic Medical Group Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2584 W Sandy Mush Rd
Merced, CA 95341
Phone (209) 385-7576

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498694400000",
    "number": "1205218005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 GARDEN ROAD",
            "address_2": "SUITE A160",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "93940",
            "telephone_number": "831-649-8994",
            "fax_number": "831-649-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2584 W SANDY MUSH RD",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953418713",
            "telephone_number": "209-385-7618",
            "fax_number": "209-385-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA FORENSIC MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2017-06-29",
        "status": "A",
        "authorized_official_last_name": "HERR",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "931-901-3278",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CFMG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.