Organization Active NPI

Mariposa Family Medicine Associates

  • Family Medicine Physician
  • Mariposa, CA
National Provider Identifier
1942625652
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MARIPOSA FAMILY MEDICINE ASSOCIATES
Practice address
5300 Highway 49 North
Mariposa, CA 95338-1210
Phone
(209) 742-6601
NPI assigned
Mar 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Robert Rose
Title
Owner
Phone
(209) 742-6601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5300 Highway 49 North
Mariposa, CA 95338-1210

Mailing address

PO Box 1210
Mariposa, CA 95338-1210
Phone (209) 742-6601

Other names 1

  • Mariposa Family Medicine Associates Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1942625652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1210",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953381210",
            "telephone_number": "209-742-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 HIGHWAY 49 NORTH",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953381210",
            "telephone_number": "209-742-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIPOSA FAMILY MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-742-6601"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mariposa Family Medicine Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mariposa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.