MADERA FAMILY MEDICAL GROUP INC.
NPI 1629172994
Pediatrics in Madera, CA

Active since September 08, 2006
1111 W 4TH ST, MADERA, CA 93637(559) 673-3000(559) 662-2910 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Madera Family Medical Group Inc. NPPES

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

MADERA FAMILY MEDICAL GROUP INC. (NPI 1629172994) is a healthcare organization registered as a pediatrics in Madera, California and active in the NPI registry since September 2006. The organization lists Aftab A Naz, President, as its authorized official.

NPPES Registry Identity

NPI1629172994
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMADERA FAMILY MEDICAL GROUP INC.
Location Address1111 W 4TH STMadera, CA 93637-4474
Mailing Address1111 W 4th StMadera, CA 93637-4474 · (559) 673-3000 · Fax (559) 662-2910
Fax(559) 662-2910
Organization SubpartNo
Authorized OfficialAftab A NazPresident · (559) 673-3000
Enumeration DateSeptember 8, 2006
Last NPPES UpdateMarch 23, 2022
NPPES CertifiedMarch 23, 2022
✔ NPI 1629172994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X
1111 W 4TH ST, Madera, CA 93637

Other Identifiers 3

OtherCH05081CA · Chdp Lab
OtherLAB13493FCA · Mcaid Lab#
MedicaidGR0068140CA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madera Family Medical Group Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Madera Family Medical Group Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Gastroenterology
NPI 1790797736
1111 W 4TH ST
Madera, CA 93637
(559) 673-3000
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Madera Family Medical Group Inc.'s NPI number?

The NPI number for Madera Family Medical Group Inc. is 1629172994. It was assigned to this organization in the NPPES registry on September 8, 2006.

Where is Madera Family Medical Group Inc. located?

Madera Family Medical Group Inc. is located at 1111 W 4th St, Madera, CA 93637. The listed phone number is (559) 673-3000.

What is Madera Family Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Madera Family Medical Group Inc. enrolled in Medicare?

Yes. Madera Family Medical Group Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Madera Family Medical Group Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Madera Family Medical Group Inc.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Madera Family Medical Group Inc. was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.