Meridian Medical Group, P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MERIDIAN MEDICAL GROUP, P.C.

Practice address

330 Northgate Dr
Manteca, CA 95336-3139

Phone

(209) 624-5288

Fax

(209) 624-5289

NPI assigned

Nov 14, 2007

Last updated

Nov 14, 2007By 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

Dr. Albert Gomez, M.D.NPI 1134228752

Title

President

Phone

(209) 624-5288

Specialties & licenses 1

Addresses

Other identifiers 9

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.

• Albert A Gomez, M.D.

  • General Practice Physician
  • San Jose, CA
  • NPI 1134228752
  NPD Authorized official

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1932380383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3278",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951563278",
            "telephone_number": "209-624-5288",
            "fax_number": "209-624-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 NORTHGATE DR",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953363139",
            "telephone_number": "209-624-5288",
            "fax_number": "209-624-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-624-5288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBERS",
            "identifier": "1730273855",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0070180",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1720171598",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ41448Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBERS",
            "identifier": "1972602464",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0070182",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1134228752",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0070181",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1457439572",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mehrdad Amirhamzeh, M.D., Inc.
• Lizbeth Mejia Arreguin
• Andrew Thomas Melendez, DO
• Aldevaran Yoalli Mendoza Cuevas
• Daniel F. Merges, MD
• Bianca Mesinas
• Elizabeth Meza
• Michael M. Catz, M.D., Inc
• Michael R Matson DDS, Inc
• Amanda Miller, LAC.

• General Practice Physician in Manteca, CA
• Providers in Manteca, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.