MFA PARKSIDE
NPI 1053510685
Family Medicine in Merced, CA

Q: What is Merced Faculty Associates Medical Group Incorporated's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 13, 2007CLIA 05D0610080 · Microscopy

535 W 25TH ST, MERCED, CA 95340(209) 722-9066(209) 383-1522 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mfa Parkside NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MFA PARKSIDE (NPI 1053510685) is a healthcare organization registered as a family medicine in Merced, California and active in the NPI registry since July 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Rebecca Shaw, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053510685

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED

Location Address535 W 25TH STMerced, CA 95340-2801

Mailing AddressPo Box 3768Merced, CA 95344-3768 · (209) 725-7149 · Fax (209) 726-0259

Phone(209) 722-9066

Fax(209) 383-1522

Organization SubpartNo

Authorized OfficialRebecca ShawCeo · (209) 723-1920

Enumeration DateJuly 13, 2007

Last NPPES UpdateJuly 15, 2014

✔ NPI 1053510685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

535 W 25TH ST, Merced, CA 95340

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Other Names 1

Doing Business AsMfa Parkside

Other Identifiers 4

Medicare PINZZZ16953ZCA

MedicaidGR0041482CA · Medi-cal Group Number

OtherCS1342GA · Railroad Medicare

OtherZZZ61443ZCA · Blue Shield Group Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0610080

Mfa-Parkside · Merced, CA

Active · expires Aug 31, 2026

CLIA Number05D0610080

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorJared A. Paskin MD

Laboratory Phone(209) 722-9066

Laboratory LocationMfa-Parkside535 West 25th, Merced, CA 95340

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JARED ARTHUR PASKIN MD

Family Medicine