MFA ATWATER
NPI 1205034964
Family Medicine in Atwater, 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 04, 2007CLIA 05D0957546 · Microscopy

1675 SHAFFER RD, ATWATER, CA 95301(209) 383-5500(209) 383-6910 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2019, Feb 21, 2018 (2 updates tracked since 2018).

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About Mfa Atwater NPPES

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

MFA ATWATER (NPI 1205034964) is a healthcare organization registered as a family medicine in Atwater, California and active in the NPI registry since July 2007. The organization holds a CLIA Microscopy certificate valid through February 22, 2027 and lists Rebecca Shaw, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205034964

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED

Location Address1675 SHAFFER RDAtwater, CA 95301-4456

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

Phone(209) 383-5500

Fax(209) 383-6910

Organization SubpartNo

Authorized OfficialRebecca ShawCeo · (209) 725-7149

Enumeration DateJuly 4, 2007

Last NPPES UpdateApril 30, 20192 updates tracked since enumeration

✔ NPI 1205034964 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.

1675 SHAFFER RD, Atwater, CA 95301

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Other Names 1

Doing Business AsMfa Atwater

Other Identifiers 3

MedicaidGR0041484CA

OtherZZZ61444ZCA · Blue Shield Group Number

OtherCS1342GA · Railroad Medicare

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) 05D0957546

Mfa Atwater · Atwater, CA

Active · expires Feb 22, 2027

CLIA Number05D0957546

Laboratory TypePhysician Office

Certificate Effective DateFebruary 23, 2025

Certificate Expiration DateFebruary 22, 2027

Laboratory DirectorDr. Thavalinh M. Sphabmixay

Laboratory Phone(209) 383-5500

Laboratory LocationMfa Atwater1675 Shaffer Rd, Atwater, CA 95301

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.

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Other Providers at the Same Location NPPES 17

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

MR. LARRY STEPHEN GURTEL PT

Physical Therapist