Medsurge

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

MEDSURGE

Practice address

2672 Everglade Ave
Clovis, CA 93619-7426

Phone

(559) 351-5459

NPI assigned

Apr 14, 2021

Organization subpart

No

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

Authorized official

Name

Mary C Hudson, PA

Title

President

Phone

(559) 351-5459

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1609457480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2672 EVERGLADE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936197426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2672 EVERGLADE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936197426",
            "telephone_number": "559-351-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSURGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-351-5459",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medequip, Inc
• Medical Support Los Angeles a Medical Corporation
• Medicine Shoppe
• Lizet Medina Delgado
• Robin D Medina-Reinhart, NP, FNP
• Caitlin Reiman Mehrtash, RD
• Mehta & Pipalia DDS Inc
• Nishit Jatinbhai Mehta, DDS
• Pooja Mehta, DMD
• Alexis Sarah Mejia, PHARM.D.

• Plastic Surgery Physician in Clovis, CA
• Providers in Clovis, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.