Organization Active NPI

Madera Medical Associates, Inc

  • Rural Health Clinic/Center
  • Madera, CA
National Provider Identifier
1801041066
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
G77817 Issued in CA
Legal business name
MADERA MEDICAL ASSOCIATES, INC
Practice address
1050 E Almond Ave
Madera, CA 93637-5698
Phone
(559) 673-5181
Fax
(559) 673-5184
NPI assigned
Dec 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Sherril Metelko
Title
Office Manager
Phone
(559) 673-5181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X G77817 CA Primary

Addresses

Primary practice location

1050 E Almond Ave
Madera, CA 93637-5698

Mailing address

1050 E Almond Ave
Madera, CA 93637-5698
Phone (559) 673-5181

National Provider Directory

National Provider Directory

Locations

1050 E Almond Ave
Madera, CA 93637
Phone (559) 673-5181

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1801041066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E ALMOND AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375698",
            "telephone_number": "559-673-5181",
            "fax_number": "559-673-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E ALMOND AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375698",
            "telephone_number": "559-673-5181",
            "fax_number": "559-673-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADERA MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "METELKO",
        "authorized_official_first_name": "SHERRIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "559-673-5181"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CA",
            "license": "G77817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.