Organization Active NPI

Merced County Physicians

  • Primary Care Clinic/Center
  • Merced, CA
National Provider Identifier
1699087072
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A49631 Issued in CA
Legal business name
MERCED COUNTY PHYSICIANS
Practice address
410 E Yosemite Ave
Suite a
Merced, CA 95340-8220
Phone
(209) 384-9108
Fax
(209) 384-0580
NPI assigned
Jul 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Mr. Steve Genargue Enad
Title
Administrator
Phone
(209) 384-9108

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A49631 CA Primary
Primary Care Clinic/Center 261QP2300X C50505 CA
Primary Care Clinic/Center 261QP2300X A54997 CA

Addresses

Primary practice location

410 E Yosemite Ave
Suite a
Merced, CA 95340-8220

Mailing address

410 E Yosemite Ave
Suite a
Merced, CA 95340-8220
Phone (209) 384-9108

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1699087072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E YOSEMITE AVE",
            "address_2": "SUITE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408220",
            "telephone_number": "209-384-9108",
            "fax_number": "209-384-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E YOSEMITE AVE",
            "address_2": "SUITE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408220",
            "telephone_number": "209-384-9108",
            "fax_number": "209-384-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCED COUNTY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "ENAD",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "GENARGUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "209-384-9108",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A49631",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "C50505",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A54997",
            "primary": false
        }
    ],
    "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 Jul 13, 2010; 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.