NPIMap

Organization Active NPI

Merced Medical Clinic

  • Ambulatory Surgical Clinic/Center
  • Merced, CA
National Provider Identifier
1265257430
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MERCED MEDICAL CLINIC
Practice address
650 W Olive Ave
Merced, CA 95348-2400
Phone
(209) 722-8047
Fax
(209) 722-1358
NPI assigned
Nov 21, 2024
Last updated
Nov 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Ms. Jody Kaur
Title
Operations Manager
Phone
(209) 722-8047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

650 W Olive Ave
Merced, CA 95348-2400

Mailing address

650 W Olive Ave
Merced, CA 95348-2400
Phone (209) 722-8047

National Provider Directory

National Provider Directory
Tax ID family
Merced Medical Clinic3 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.

NPI Registry JSON

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1265257430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W OLIVE AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482400",
            "telephone_number": "209-722-8047",
            "fax_number": "209-722-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W OLIVE AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482400",
            "telephone_number": "209-722-8047",
            "fax_number": "209-722-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCED MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "209-722-8047",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 21, 2024; 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.