Organization Active NPI

Nova Medical, Professional Corporation

  • Family Medicine Physician
  • Merced, CA
National Provider Identifier
1386532893
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NOVA MEDICAL, PROFESSIONAL CORPORATION
Practice address
1170 W Olive Ave Ste B
Merced, CA 95348-1959
Phone
(209) 379-6002
Fax
(209) 336-5002
NPI assigned
Jun 24, 2025
Last updated
Aug 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Dr. Gessie Wompleh Lurlay, MDNPI 1003445677
Title
Owner
Phone
(559) 474-9030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1170 W Olive Ave Ste B
Merced, CA 95348-1959

Mailing address

4463 Conway CT
Merced, CA 95348-8500
Phone (209) 379-6002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250912003820 CA Part B Supplier - Clinic/Group Practice 6800399957 Receives reassigned benefits from 2 practitioners
Practice locations: Merced, CA

National Provider Directory

National Provider Directory

Locations

3389 G St
Merced, CA 95340
Phone (209) 379-6002

Practitioners & affiliated clinicians

Practitioners 2

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": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1386532893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4463 CONWAY CT",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953488500",
            "telephone_number": "209-379-6002",
            "fax_number": "209-336-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 W OLIVE AVE STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953481959",
            "telephone_number": "209-379-6002",
            "fax_number": "209-336-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA MEDICAL, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "LURLAY",
        "authorized_official_first_name": "GESSIE",
        "authorized_official_middle_name": "WOMPLEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-474-9030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "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 Aug 7, 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.