MFA MEDICAL GROUP @ EL PORTAL
NPI 1699974220
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 05D1084846 · Microscopy

3385 G ST STE A, MERCED, CA 95340(209) 725-3122(209) 725-3128 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mfa Medical Group @ El Portal NPPES

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

MFA MEDICAL GROUP @ EL PORTAL (NPI 1699974220) 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 June 5, 2028 and lists Rebecca Shaw, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699974220

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED

Location Address3385 G ST STE AMerced, CA 95340-0964

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

Phone(209) 725-3122

Fax(209) 725-3128

Organization SubpartNo

Authorized OfficialRebecca ShawCeo · (209) 723-1920

Enumeration DateJuly 13, 2007

Last NPPES UpdateJuly 15, 2014

✔ NPI 1699974220 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.

3385 G ST STE A, Merced, CA 95340

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Other Names 1

Doing Business AsMfa Medical Group @ El Portal

Other Identifiers 4

OtherZZZ69713ZCA · Blue Shield Group

Medicare PINZZZ16953ZCA

OtherCS1342GA · Railroad Medicare

MedicaidGR0041487CA

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) 05D1084846

Mfa Medical Group - El Portal · Merced, CA

Active · expires Jun 5, 2028

CLIA Number05D1084846

Laboratory TypePhysician Office

Certificate Effective DateJune 6, 2026

Certificate Expiration DateJune 5, 2028

Laboratory DirectorJohn B. Paik-Tesch

Laboratory Phone(209) 725-3122

Laboratory LocationMfa Medical Group - El Portal3385 G Street Suite A, 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 2

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

WILLIAM MILTON ENTWISTLE MD

Family Medicine

3385 G ST STE A
MERCED, CA 95340

Merced County (097) 253-1222

JOHN BERNARD PAIK-TESCH MD

Family Medicine

3385 G ST STE A
MERCED, CA 95340

Merced County (209) 725-3122

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 Merced Faculty Associates Medical Group Incorporated's NPI number?

The NPI number for Merced Faculty Associates Medical Group Incorporated is 1699974220. It was assigned to this organization in the NPPES registry on July 13, 2007. The provider is doing business as Mfa Medical Group @ El Portal.

Where is Merced Faculty Associates Medical Group Incorporated located?

Merced Faculty Associates Medical Group Incorporated is located at 3385 G St Ste A, Merced, CA 95340. The listed phone number is (209) 725-3122.

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

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

Does Merced Faculty Associates Medical Group Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1084846) is associated with this NPI, valid through June 5, 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.