NPIMap

Organization Active NPI

Fresno Vamc

  • VA Clinic/Center
  • Merced, CA
National Provider Identifier
1619928306
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
FRESNO VAMC
Practice address
340 E Yosemite Ave
Merced, CA 95340-9167
Phone
(702) 341-3020
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Authorized official

Name
Erin Potter
Title
Npi Team Member
Phone
(202) 382-2579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X Primary

Addresses

Primary practice location

340 E Yosemite Ave
Merced, CA 95340-9167

Mailing address

PO Box 94410
Cleveland, OH 44101-4410
Phone (702) 341-3020

Other names 1

  • Merced VA CBOC Other name

National Provider Directory

National Provider Directory
Tax ID family
Fresno Vamc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

340 E Yosemite Ave
Merced, CA 95340
Phone (209) 381-0105

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1619928306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94410",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014410",
            "telephone_number": "702-341-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E YOSEMITE AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953409167",
            "telephone_number": "702-341-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "NPI TEAM MEMBER",
        "authorized_official_telephone_number": "202-382-2579"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merced VA CBOC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 31, 2017; 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.