Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED
Active
Organization
MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED
Active
Other names
MFA Parkside
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA SHAW (CEO)
(209) 723-1920
Entity
Organization
Contact information
Practice address
535 W 25TH ST, MERCED, CA 95340-2801
(209) 722-9066
(209) 383-1522
Mailing address
PO BOX 3768, MERCED, CA 95344-3768
(209) 725-7149
(209) 726-0259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS1342
RAILROAD MEDICARE
GA
05
—
GR0041482
MEDI-CAL GROUP NUMBER
CA
01
—
ZZZ61443Z
BLUE SHIELD GROUP NUMBER
CA
Enumeration date
07/13/2007
Last updated
07/15/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up