NPIMap

Organization Active NPI

Atwater Medical Group

  • Primary Care Clinic/Center
  • Atwater, CA
National Provider Identifier
1356438410
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
11121 Issued in CA
Legal business name
ATWATER MEDICAL GROUP
Practice address
1775 3Rd St
Atwater, CA 95301-3608
Phone
(209) 358-5611
Fax
(209) 358-0219
NPI assigned
Oct 9, 2006
Last updated
Sep 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Dr. Steven Laurence Taggart, M.D.NPI 1629049788
Title
Partner
Phone
(209) 358-5611

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
Primary Care Clinic/Center 261QP2300X 11121 CA Primary

Addresses

Primary practice location

1775 3Rd St
Atwater, CA 95301-3608

Mailing address

1775 3Rd St
Atwater, CA 95301-3608
Phone (209) 358-5611

National Provider Directory

National Provider Directory

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": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1356438410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 3RD ST",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953013608",
            "telephone_number": "209-358-5611",
            "fax_number": "209-358-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 3RD ST",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953013608",
            "telephone_number": "209-358-5611",
            "fax_number": "209-358-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATWATER MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "TAGGART",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LAURENCE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "209-358-5611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "11121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atwater, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.