Madera Family Medical Group Inc.

LBN: Madera Family Medical Group Inc.
Madera Family Medical Group Inc. is an health care organization with primary practice located at 1111 W 4Th St , Madera CA 93637-4474. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Madera Family Medical Group Inc. can be contacted via phone (559) 673-3000, or through Naz, Aftab A via phone (559) 673-3000.

Contact Information

Primary practice address
1111 W 4Th St Madera CA 93637-4474
Phone: (559) 673-3000
Fax: (559) 662-2910
Website:
Map and Directions
Authorized official contact:
Name: Naz, Aftab A
Phone: (559) 673-3000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X

Profile Details

NPI number 1629172994
LBN Legal business name Madera Family Medical Group Inc.
DBA Doing business as
Authorized official Naz, Aftab A
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2006
Last updated Mar 23rd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629172994 NPPES
California Other LAB13493F MCAID LAB#
California Other CH05081 MCAID LAB#
California MEDICAID GR0068140 MCAID LAB#

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