Active NPI
United California Surgical Forum Inc.
- Surgery Physician
- Madera, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 112001
- Legal business name
- UNITED CALIFORNIA SURGICAL FORUM INC.
- Practice address
- 1000 E Almond Ave
Madera, CA 93637-5693 - Phone
- (559) 673-5657
- Fax
- (559) 549-9736
- NPI assigned
- Mar 14, 2013
- Last updated
- Mar 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rame D Iberdemaj, M.D.,
- Title
- President
- Phone
- (559) 673-5657
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 112001 | CA | Primary |
| Vascular Surgery Physician | 2086S0129X | 112001 | CA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 112001 | CA |
Addresses
Primary practice location
1000 E Almond Ave
Madera, CA 93637-5693
Mailing address
1000 E Almond Ave # 3a
Madera, CA 93637-5693
Phone (559) 673-5657
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2940 Fresno St
Fresno, CA 93721
Phone (559) 673-5657
1000 E Almond Ave
#3A
Madera, CA 93637
Phone (559) 673-5657
1000 E Almond Ave
Ste 101
Madera, CA 93637
Phone (559) 673-5657
1000 E Almond Ave
Ste 102
Madera, CA 93637
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Surgery Physician
- Madera, CA
- NPI 1922294453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363219200000",
"number": "1861733974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E ALMOND AVE # 3A",
"city": "MADERA",
"state": "CA",
"postal_code": "936375693",
"telephone_number": "559-673-5657",
"fax_number": "559-549-9736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E ALMOND AVE",
"city": "MADERA",
"state": "CA",
"postal_code": "936375693",
"telephone_number": "559-673-5657",
"fax_number": "559-549-9736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED CALIFORNIA SURGICAL FORUM INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-14",
"last_updated": "2013-03-14",
"status": "A",
"authorized_official_last_name": "IBERDEMAJ",
"authorized_official_first_name": "RAME",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-673-5657",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D.,"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "112001",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "112001",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "112001",
"primary": false
}
],
"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 Mar 14, 2013; 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.