Family Clinic of Merced Medical Office Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY CLINIC OF MERCED MEDICAL OFFICE INC

Practice address

450 E Yosemite Ave
Ste B
Merced, CA 95340-8429

Phone

(209) 383-3152

Fax

(209) 383-3137

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Jaipal Reddy, MDNPI 1275638942

Title

President Owner

Phone

(209) 383-3152

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BBFEDD

Practitioners 3

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

• Jaipal Medini Reddy, MD

  • Family Medicine Physician
  • Merced, CA
  • NPI 1275638942
  Medicare reassignment Care Compare group NPD Authorized official
• Lorraine K Nelson, MD

  • Family Medicine Physician
  • Merced, CA
  • NPI 1184729857
  Medicare reassignment Care Compare group
• Christina Hicks, PA

  • Physician Assistant
  • Merced, CA
  • NPI 1013072057
  Medicare reassignment

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1952496697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E YOSEMITE AVE",
            "address_2": "STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408429",
            "telephone_number": "209-383-3152",
            "fax_number": "209-383-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E YOSEMITE AVE",
            "address_2": "STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408429",
            "telephone_number": "209-383-3152",
            "fax_number": "209-383-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CLINIC OF MERCED MEDICAL OFFICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "JAIPAL",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "209-383-3152",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Eyberg, LVN
• Ez Sleep Club, Inc.
• Tiffany Rochelle Fagan, RBT
• Randy Garrett Fagundes
• Albert Falley, LVN
• Family Practice Residency
• Juvenal Farias
• Auchaia Farley, PA-C
• Jason Farnsworth
• Maria Farrar, PNP

• Family Medicine Physician in Merced, CA
• Providers in Merced, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.