Med Center Medical Clinic, Inc

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10071 Issued in CA

Legal business name

MED CENTER MEDICAL CLINIC, INC

Doing business as

Dr Champlin's Annex

Practice address

7988 California Ave
Fair Oaks, CA 95628-7140

Phone

(916) 961-7031

Fax

(916) 961-5218

NPI assigned

May 7, 2008

Organization subpart

Yes

Parent organization

MED CENTER MEDICAL CLINIC, INCAs reported in NPPES

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

Authorized official

Name

Cindy Adge

Title

Office Manager

Phone

(916) 676-1450

Specialties & licenses 1

Addresses

Other names 1

• DR CHAMPLIN'S ANNEX Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Med Center Medical Clinic

  • Family Medicine Physician
  • Carmichael, CA
  • NPI 1174658306

  O20040330000701

  Same enrollment

Part of

Med Center Medical Clinic Inc

Locations

Practitioners 2

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

• Amber Emery Esparza, PA-C

  • Medical Physician Assistant
  • Carmichael, CA
  • NPI 1710136833
  NPD
• Fikir Morkoc, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Citrus Heights, CA
  • NPI 1134295272
  NPD (past)

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1871769000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 SUNRISE VISTA DR",
            "address_2": "STE 3050",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107053",
            "telephone_number": "916-676-1450",
            "fax_number": "916-676-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7988 CALIFORNIA AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287140",
            "telephone_number": "916-961-7031",
            "fax_number": "916-961-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CENTER MEDICAL CLINIC, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MED CENTER MEDICAL CLINIC, INC",
        "enumeration_date": "2008-05-07",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "ADGE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-676-1450"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA10071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR CHAMPLIN'S ANNEX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McIlwain Services (McIlwain Mobility Service)
• Alisha Lynn McIntyre, MS SLP
• Jacklyn Nicole McKee, CATC-1
• Amanda Louise McNutt, SP
• Leroy W. 'Mic' McPherson, M.F.T.
• Madison Maria Mellow
• Mark Melten
• Nicole Metscher, MFT
• Brian Meuel, CMT
• Careen Meyer

• Medical Physician Assistant in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Medical Physician Assistant in California

• 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.
• 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.