Madera Family Medical Group Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MADERA FAMILY MEDICAL GROUP INC.

Practice address

1111 W 4TH St
Madera, CA 93637-4474

Phone

(559) 673-3000

Fax

(559) 662-2910

NPI assigned

Sep 8, 2006

Organization subpart

No

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

Authorized official

Name

Aftab A Naz

Title

President

Phone

(559) 673-3000

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Madera Family Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Madera Family Medical Group Lab

  • Clinical Medical Laboratory
  • Madera, CA
  • NPI 1538346531
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Syed A Hamid, MD

  • Pediatric Gastroenterology Physician
  • Madera, CA
  • NPI 1790797736
  Medicare reassignment

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1629172994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W 4TH ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374474",
            "telephone_number": "559-673-3000",
            "fax_number": "559-662-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W 4TH ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374474",
            "telephone_number": "559-673-3000",
            "fax_number": "559-662-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADERA FAMILY MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "NAZ",
        "authorized_official_first_name": "AFTAB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-673-3000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCAID LAB#",
            "identifier": "LAB13493F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHDP LAB",
            "identifier": "CH05081",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0068140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madera County Department of Public Health
• Madera County Office of Education
• Madera Family Dentistry
• Madera Family Health Services
• Madera Family Health Services
• Madera Family Medical Group Lab
• Madera Kidney Center LLC (Madera Dialysis Center)
• Madera Kids Dental World
• Madera Medical Associates, Inc
• Madera Multi Specialty Group, a Medical Corporation

• Pediatrics Physician in Madera, CA
• Providers in Madera, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.