MFA PARKSIDE
NPI 1053510685
Family Medicine in Merced, CA
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, 2028 and lists Rebecca Shaw, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mfa Parkside is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
43Medicare enrollment records show 43 clinicians reassign Medicare billing to Mfa Parkside, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 35 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 43Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Merced Faculty Associates Medical Group Incorporated's NPI number?
The NPI number for Merced Faculty Associates Medical Group Incorporated is 1053510685. It was assigned to this organization in the NPPES registry on July 13, 2007. The provider is doing business as Mfa Parkside.
Where is Merced Faculty Associates Medical Group Incorporated located?
Merced Faculty Associates Medical Group Incorporated is located at 535 W 25th St, Merced, CA 95340. The listed phone number is (209) 722-9066.
What is Merced Faculty Associates Medical Group Incorporated's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Merced Faculty Associates Medical Group Incorporated enrolled in Medicare?
Yes. Merced Faculty Associates Medical Group Incorporated is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Merced Faculty Associates Medical Group Incorporated?
According to the CMS Revalidation Reassignment List (October 2026 release), 43 clinicians in 6 Medicare specialties reassign their Medicare billing to Merced Faculty Associates Medical Group Incorporated. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (23), Nurse Practitioner (13) and Clinical Social Worker (2). Of these, 4 practice at this address and 35 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Merced Faculty Associates Medical Group Incorporated hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0610080) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Merced Faculty Associates Medical Group Incorporated was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mfa Parkside · NPI 1053510685
Family Medicine organization in Merced, California. Organization record, active in the CMS NPPES registry since July 13, 2007.
## Identity
- **NPI:** 1053510685 (Entity type: Organization)
- **Enumerated:** July 13, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Merced Faculty Associates Medical Group Incorporated
- **Organization subpart:** No
- **Authorized official:** Rebecca Shaw, CEO
## Practice location
- **Address:** 535 W 25TH ST, Merced, CA 95340-2801
- **Phone:** (209) 722-9066 · **Fax:** (209) 383-1522
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 43 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (23), Nurse Practitioner (13), Clinical Social Worker (2); 4 practice at this address and 35 within 10 miles; [full list](https://npiprofile.com/npi/1053510685/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2014
- **Other identifiers:** Medicare PIN ZZZ16953Z (CA); Medicaid GR0041482 (CA); Other CS1342 (GA); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053510685) · Data from the CMS NPPES public registry.