NPIMap

Organization Active NPI

County of Madera

  • State or Local Public Health Clinic/Center
  • Madera, CA
National Provider Identifier
1265573349
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
COUNTY OF MADERA
Practice address
1604 Sunrise Ave
Madera, CA 93638-4926
Phone
(559) 675-7893
Fax
(559) 661-2815
NPI assigned
Feb 9, 2007
Organization subpart
Yes
Parent organization
COUNTY OF MADERAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Sean Kirkpatrick
Title
Deputy Director
Phone
(559) 675-7703

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Clinic/Center 261Q00000X
Non-Surgical Family Planning Clinic/Center 261QF0050X
Health Service Clinic/Center 261QH0100X
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

1604 Sunrise Ave
Madera, CA 93638-4926

Mailing address

1604 Sunrise Ave
Madera, CA 93638-4926
Phone (559) 675-7893

Other names 3

  • County of Madera Department of Public Health Doing business as
  • Madera County Department of Public Health Doing business as
  • Madera County Public Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041228000684 CA Part B Supplier - Clinic/Group Practice 6800854597 Receives reassigned benefits from 12 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Madera, CA
O20160706000983 CA Part B Supplier - Mass Immunization (Roster Biller Only) 6800854597 Practice locations: Madera, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Part of
Madera County Public Health

Locations

14227 Road 28
Madera, CA 93638
Phone (559) 637-3508

424 N Gateway Dr
Madera, CA 93637
Phone (559) 675-7762

126 N B St
Madera, CA 93638
Phone (559) 661-5194

117 N R St
Madera, CA 93637
Phone (559) 395-0450

14215 Road 28
Madera, CA 93638
Phone (559) 675-4945

121 N Lake St
Madera, CA 93638
Phone (559) 661-5156

28281 Avenue 14
#A
Madera, CA 93638
Phone (559) 675-6560

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1265573349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 SUNRISE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936384926",
            "telephone_number": "559-675-7893",
            "fax_number": "559-661-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 SUNRISE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936384926",
            "telephone_number": "559-675-7893",
            "fax_number": "559-661-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MADERA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF MADERA",
        "enumeration_date": "2007-02-09",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "KIRKPATRICK",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "559-675-7703"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "County of Madera Department of Public Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Madera County Department of Public Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Madera County Public Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.