Organization Active NPI

Merced General Surgery Inc

  • Surgery Physician
  • Merced, CA
National Provider Identifier
1336453307
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A112472 Issued in CA
Legal business name
MERCED GENERAL SURGERY INC
Practice address
3351 M St
105
Merced, CA 95348-2700
Phone
(209) 384-8111
Fax
(209) 384-8112
NPI assigned
Aug 2, 2010
Last updated
Sep 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Dr. Peter L Wong, MDNPI 1831300284
Title
President
Phone
(209) 384-8111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A112472 CA Primary

Addresses

Primary practice location

3351 M St
105
Merced, CA 95348-2700

Mailing address

PO Box 2657
Merced, CA 95344-0657
Phone (209) 384-8111

National Provider Directory

National Provider Directory

Locations

3351 M St
Ste 105
Merced, CA 95348
Phone (209) 383-3444

411 W 20th St
Merced, CA 95340
Phone (209) 722-8122

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1336453307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2657",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953440657",
            "telephone_number": "209-384-8111",
            "fax_number": "209-384-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 M ST",
            "address_2": "105",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482700",
            "telephone_number": "209-384-8111",
            "fax_number": "209-384-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCED GENERAL SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-384-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A112472",
            "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 Sep 15, 2011; 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.