Madera Community Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MADERA COMMUNITY HOSPITAL

Doing business as

Family Health Services - Mendota

Practice address

121 Belmont Ave., Suite 101
Mendota, CA 93640

Phone

(559) 675-5505

Fax

(559) 675-5509

NPI assigned

Dec 12, 2019

Last updated

Dec 12, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

MADERA COMMUNITY HOSPITALAs reported in NPPES

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

Authorized official

Name

Mr. Mark James Foote

Title

VP-Finance/Cfo

Phone

(559) 675-5505

Specialties & licenses 1

Addresses

Other names 1

• Family Health Services - Mendota Doing business as

Part of

Madera Comm Hosp Ekg de

Locations

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1881232676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E ALMOND AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375696",
            "telephone_number": "559-675-5505",
            "fax_number": "559-675-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BELMONT AVE., SUITE 101",
            "city": "MENDOTA",
            "state": "CA",
            "postal_code": "93640",
            "telephone_number": "559-675-5505",
            "fax_number": "559-675-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADERA COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MADERA COMMUNITY HOSPITAL",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "FOOTE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "VP-FINANCE/CFO",
        "authorized_official_telephone_number": "559-675-5505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Services - Mendota",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gayathri Parameswaran Iyer
• Mandeep Kaur, M.D.
• Bum Kim, DDS
• Marione Jill Tafalla Lear, FNP
• Jasdave S. Maan, MD
• Raman Mattu, M.D.
• Robert McLeod, P.A.
• Yvette Lopez Mendez, LCSW
• Mendota Pharmacy Inc (Mendota Pharmacy)
• Mendota Unified School District

• Rural Health Clinic/Center in Mendota, CA
• Providers in Mendota, CA by specialty
• Rural Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.