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PROPHETE MEDICAL CORPORATION
NPI 1568658086
Obstetrics & Gynecology in Los Banos, CA

Active since September 18, 2007CLIA 05D1082620 · Microscopy
502 WASHINGTON AVE, LOS BANOS, CA 93635(209) 826-4771(209) 826-8565 Get Directions Write a Review

NPPES record last updated: March 25, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 17, 2018, Jul 6, 2017 (2 updates tracked since 2017).

About Prophete Medical Corporation NPPES

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

PROPHETE MEDICAL CORPORATION (NPI 1568658086), doing business as Liautaud Morin Prophete, is a healthcare organization registered as an obstetrics & gynecology in Los Banos, California and active in the NPI registry since September 2007. The organization holds a CLIA Microscopy certificate valid through April 14, 2028 and lists Liautaud Morin Prophete, President, as its authorized official.

NPPES Registry Identity

NPI1568658086
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePROPHETE MEDICAL CORPORATION
Location Address502 WASHINGTON AVELos Banos, CA 93635-4649
Mailing AddressPo Box 2236Los Banos, CA 93635-2236 · (209) 826-4771 · Fax (209) 826-8565
Phone(209) 826-4771
Fax(209) 826-8565
Organization SubpartNo
Authorized OfficialLiautaud Morin ProphetePresident · (209) 826-4771
Enumeration DateSeptember 18, 2007
Last NPPES UpdateMarch 25, 20192 updates tracked since enumeration
✔ NPI 1568658086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · 20A9842
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
502 WASHINGTON AVE, Los Banos, CA 93635
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Other Names 1

Former Legal Business NameLiautaud Morin Prophete

Other Identifiers 1

Medicaid00AX98420CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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) 05D1082620

Prophete Medical Corporation · Los Banos, CA
Active · expires Apr 14, 2028
CLIA Number05D1082620
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorLiautaud M. Prophete
Laboratory Phone(209) 826-4771
Laboratory LocationProphete Medical Corporation502 Washington Ave, Los Banos, CA 93635
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 4

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

DR. LIAUTAUD MORIN PROPHETE SR. D.O
Obstetrics & Gynecology
502 WASHINGTON AVE
LOS BANOS, CA 93635
Merced County (209) 826-4771
MRS. LALLIANA DEL CARMEN PROPHETE NURSE PRACTITIONER
Nurse Practitioner (Family)
502 WASHINGTON AVE
LOS BANOS, CA 93635
Merced County (209) 826-4771
DR. STEPHEN J GEORGIOU MD
Obstetrics & Gynecology
502 WASHINGTON AVE
LOS BANOS, CA 93635
Merced County (209) 826-4771
DR. BENNY LEE WRIGHT D.O.
Obstetrics & Gynecology
502 WASHINGTON AVE
LOS BANOS, CA 93635
Merced County (209) 826-4771

Frequently 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 Prophete Medical Corporation's NPI number?

The NPI number for Prophete Medical Corporation is 1568658086. It was assigned to this organization in the NPPES registry on September 18, 2007. The provider was formerly known as Liautaud Morin Prophete.

Where is Prophete Medical Corporation located?

Prophete Medical Corporation is located at 502 Washington Ave, Los Banos, CA 93635. The listed phone number is (209) 826-4771.

What is Prophete Medical Corporation's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Prophete Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1082620) is associated with this NPI, valid through April 14, 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 Prophete Medical Corporation was last updated on March 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.