MFA MEDICAL GROUP GATEWAY CLINIC
NPI 1548469174
Obstetrics & Gynecology in Merced, CA

NPI Status: Active since July 13, 2007

Contact Information

378 W OLIVE AVE
SUITE D
MERCED, CA
ZIP 95348
Phone: (209) 725-7560
Fax: (209) 725-7561

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  • Organization
  • Obstetrics & Gynecology
  • CLIA Number: 05D0957548
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-22-2027

About MFA MEDICAL GROUP GATEWAY CLINIC

This page provides the complete NPI Profile along with additional information for Mfa Medical Group Gateway Clinic, a women's health care provider established in Merced, California operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1548469174 assigned on July 2007. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Mfa Medical Group Gateway Clinic. The authorized official of this NPI record is Rebecca Shaw (Ceo)

NPI
1548469174
Provider Legal Name
MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED
Other Organization Name
MFA MEDICAL GROUP GATEWAY CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
378 W OLIVE AVE SUITE D MERCED, CA 95348
Location Phone
(209) 725-7560
Location Fax
(209) 725-7561
Mailing Address
PO BOX 3768 MERCED, CA 95344
Mailing Phone
(209) 725-7149
Mailing Fax
(209) 725-7561
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-13-2007
Last Update Date
07-15-2014
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Women's health care providers like Mfa Medical Group Gateway Clinic treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

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

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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.

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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

REBECCA SHAW

Authorized Official Title
CEO
Authorized Official Phone
(209) 723-1920

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
CS1342OTHER (01)GARAILROAD MEDICARE
GR0041481MEDICAID (05)CAMEDI-CAL GROUP NUMBER
ZZZ18708ZMEDICARE PIN (08)CA 
ZZZ09267ZOTHER (01)CABLUE SHIELD GROUP NUMBER

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0957548
Facility Type
Physician Office
Certificate Effective Date
February 23, 2025
Certificate Expiration Date
February 22, 2027
Laboratory Director
BRIAN J. VIERRA, MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Mfa Medical Group Gateway Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for MFA MEDICAL GROUP GATEWAY CLINIC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1548469174
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25888618114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 8 + 6 + 1 + 8 + 1 + 1 + 4 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1548469174 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780930669 LAMIN TUNKARA RN, WCC
Individual
Registered Nurse (Wound Care)378 W OLIVE AVE SUITE A
MERCED, CA 95348
(209) 205-1103
1801015250 PETER PAU HERR DPM
Individual
Podiatrist378 W OLIVE AVE SUITE C
MERCED, CA 95348
(209) 384-3198
1760650402MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED
Organization
Family Medicine378 W OLIVE AVE SUITE A
MERCED, CA 95348
(209) 205-1103
1285907014 NIKELLE SEVERE RN
Individual
Registered Nurse (Wound Care)378 W OLIVE AVE SUITE A
MERCED, CA 95348
(209) 205-1103
1164526356 MICHAEL SALIH DPM
Individual
Podiatrist378 W OLIVE AVE SUITE C
MERCED, CA 95348
(209) 384-3198
1073733879GOLDEN VALLEY HEALTH CENTERS
Organization
Family Medicine378 W OLIVE AVE
MERCED, CA 95348
(209) 381-4104
1659483154 BRIAN JAMES VIERRA MD
Individual
Obstetrics & Gynecology378 W OLIVE AVE SUITE D
MERCED, CA 95348
(209) 725-7560
1104920297 MAIYA DRUE THAO DPM
Individual
Podiatrist378 W OLIVE AVE SUITE C
MERCED, CA 95348
(209) 384-3198

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548469174, enumerated in the NPI registry as an "organization" on July 13, 2007

The provider is located at 378 W Olive Ave Suite D Merced, Ca 95348 and the phone number is (209) 725-7560

This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207V00000X

The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid, California. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 05D0957548 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on July 13, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.