MMR Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MMR MEDICAL GROUP INC

Practice address

1310 Hanna Ave
Ste 1
Corcoran, CA 93212-2314

Phone

(559) 992-3300

Fax

(559) 992-8162

NPI assigned

Sep 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juan R Medina, M.D.NPI 1497853568

Title

President

Phone

(559) 992-3300

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Juan R Medina, M.D.

  • Family Medicine Physician
  • Corcoran, CA
  • NPI 1497853568
  Authorized official Same address or phone
• Jonnel Ramos Constantino, M.D.

  • Hospitalist Physician
  • Orange, CA
  • NPI 1124246350
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861599144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932320071",
            "telephone_number": "559-992-3300",
            "fax_number": "559-992-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 HANNA AVE",
            "address_2": "STE 1",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "932122314",
            "telephone_number": "559-992-3300",
            "fax_number": "559-992-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMR MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-992-3300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0089410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eva Baranoff McKenzie, PH.D.
• Juan R Medina, M.D.
• William Edward Mekeel, D.M.D.
• Jasmine Mendoza
• Monique B Miranda, MSW, ACSW
• Savanah Moore, PSYD
• Andrew Morelock, ACSW
• Paul Daniel Moreno Sr., SUDCC IV, BA, MA
• Mariam Morkos, RPH
• Jerry Alan Morris, PHARMD

• Family Medicine Physician in Corcoran, CA
• Providers in Corcoran, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.