Madera Anesthesia Assoc Med GRP

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MADERA ANESTHESIA ASSOC MED GRP

Practice address

1250 E Almond
Madera, CA 93637

Phone

(559) 675-5555

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Victor Yanez

Title

GRP President

Phone

(559) 675-5555

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1821040411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E ALMOND",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "93637",
            "telephone_number": "559-675-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADERA ANESTHESIA ASSOC MED GRP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "YANEZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "GRP PRESIDENT",
        "authorized_official_telephone_number": "559-675-5555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ53447Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0071410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randy James Mack, MPT
• Duncan Mackay, MD, MBA
• Charles Joseph Mackey, PA-C
• Maria Madeira
• Madera Ambulatory Surgery Center
• Madera Anesthesia Consultants, Inc
• Madera Community Health Center, Inc.
• Madera Community Hospital
• Madera Community Hospital
• Madera Community Hospital

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.