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Organization
TEAM PHYSICIANS OF CALIFORNIA MEDICAL GROUP INC
Active
Organization
TEAM PHYSICIANS OF CALIFORNIA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN TRACCI MOUGANIS (DIRECTOR, PROVIDER ENROLLMENT)
(856) 686-4394
Entity
Organization
Contact information
Practice address
1401 GARCES HWY, DELANO, CA 93215-3690
(925) 924-1600
Mailing address
PO BOX 634600, CINCINNATI, OH 45263-4600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG0978
LA COMMUNITY RAILROAD
CA
01
—
DD4942
TULARE RAILROAD
CA
05
—
GR0083246
—
CA
05
—
GR0083247
—
CA
05
—
GR008324E
—
CA
05
—
GR008324G
—
CA
05
—
GR008324H
—
CA
01
—
ZZZ002402
LA COMMUNITY BLUE SHIELD
CA
01
—
ZZZ03631Z
DELANO BLUE SHIELD
CA
01
—
ZZZ65040Z
TULARE BLUE SHIELD
CA
Enumeration date
06/29/2006
Last updated
06/05/2026
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