NPIMap

Organization Active NPI

MD Medical Group, Inc.

Doing business as California Neurological Center, Inc.

  • Neurology Physician
  • Fresno, CA
National Provider Identifier
1700883733
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A66769 Issued in CA
Legal business name
MD MEDICAL GROUP, INC.
Doing business as
California Neurological Center, Inc.
Practice address
7585 N Cedar Ave
Suite 102
Fresno, CA 93720-2604
Phone
(559) 243-1232
Fax
(559) 243-9954
NPI assigned
Jul 5, 2005
Last updated
Feb 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Dr. Abbas Mehdi, M.D.NPI 1356348387
Title
President
Phone
(559) 243-1232

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
Neurology Physician 2084N0400X A66769 CA Primary

Addresses

Primary practice location

7585 N Cedar Ave
Suite 102
Fresno, CA 93720-2604

Mailing address

7585 N Cedar Ave
Suite 102
Fresno, CA 93720-2604
Phone (559) 243-1232

Other identifiers 1

IdentifierTypeStateIssuer
GR0100150MedicaidCA

Other names 1

  • California Neurological Center, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315001304 CA Part B Supplier - Clinic/Group Practice 8921997990 Receives reassigned benefits from 4 practitioners
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

5325 N Fresno St
Ste 108
Fresno, CA 93710

5325 N Fresno St
Ste 108B
Fresno, CA 93710
Phone (559) 225-3300

Practitioners & affiliated clinicians

Practitioners 7

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": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1700883733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7585 N CEDAR AVE",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202604",
            "telephone_number": "559-243-1232",
            "fax_number": "559-243-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7585 N CEDAR AVE",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202604",
            "telephone_number": "559-243-1232",
            "fax_number": "559-243-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "MEHDI",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-243-1232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A66769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Neurological Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.