Organization Active NPI

Merced Turlock Nephrology Med Group Inc.

  • Nephrology Physician
  • Merced, CA
National Provider Identifier
1902997984
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
MERCED TURLOCK NEPHROLOGY MED GROUP INC.
Practice address
3351 M St
Ste 125
Merced, CA 95348
Phone
(209) 723-1020
Fax
(209) 723-6784
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Mr. Nirmal S Aujla, MDNPI 1275637506
Title
MD / Owner
Phone
(209) 723-1020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

3351 M St
Ste 125
Merced, CA 95348

Mailing address

3351 M St
Ste 125
Merced, CA 95348
Phone (209) 723-1020

Other identifiers 1

IdentifierTypeStateIssuer
GR0100620MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110519000628 CA Part B Supplier - Clinic/Group Practice 6002092400 Receives reassigned benefits from 5 practitioners
Practice locations: Merced, CA; Turlock, CA

National Provider Directory

National Provider Directory

Locations

3351 M St
Ste 125
Merced, CA 95348
Phone (209) 723-1020

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1902997984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 M ST",
            "address_2": "STE 125",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "95348",
            "telephone_number": "209-723-1020",
            "fax_number": "209-723-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 M ST",
            "address_2": "STE 125",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "95348",
            "telephone_number": "209-723-1020",
            "fax_number": "209-723-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCED TURLOCK NEPHROLOGY MED GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "AUJLA",
        "authorized_official_first_name": "NIRMAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD / OWNER",
        "authorized_official_telephone_number": "209-723-1020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.