SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF SURGERY
NPI 1851574735
Surgery - Pediatric Surgery in Madera, CA
- Organization
- Surgery
- Pediatric Surgery
About SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF SURGERY
This page provides the complete NPI Profile along with additional information for Specialty Medical Group Central California - Dept Of Surgery, a provider established in Madera, California operating as a Surgery, focusing in pediatric surgery . The healthcare provider is registered in the NPI registry with number 1851574735 assigned on December 2007. The practitioner's primary taxonomy code is 2086S0120X. The provider is registered as an organization and their NPI record was last updated 19 years ago. Specialty Medical Group Central California - Dept Of Surgery operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ralph P. Diaz M.d. (President And Medical Director)
- NPI
- 1851574735 Verify this NPI
- Provider Name
- SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF SURGERY
- Entity Type
- Organization
- Location Address
- 9300 VALLEY CHILDRENS PL MADERA, CA 93636
- Location Phone
- (559) 353-7290
- Location Fax
- (559) 353-7286
- Mailing Address
- 9300 VALLEY CHILDRENS PL MADERA, CA 93636
- Mailing Phone
- (559) 353-7290
- Mailing Fax
- (559) 353-7286
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-13-2007
- Last Update Date
- 12-13-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Pediatric Surgery
- Taxonomy Code
- 2086S0120X
- Type
- Allopathic & Osteopathic Physicians
- License State
- CA
- Taxonomy Description
- A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | (CA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR007868M | MEDICAID (05) | CA |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851574735, enumerated as an "organization" on December 13, 2007.
The provider is located at 9300 VALLEY CHILDRENS PL MADERA, CA 93636 and the phone number is (559) 353-7290.
Surgery with taxonomy code 2086S0120X and a focus in Pediatric Surgery.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
