CALIFORNIA FORENSIC MEDICAL GROUP, INC. (NPI# 1205218005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205218005 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA FORENSIC MEDICAL GROUP, INC. |
| Other Organization Name | CFMG |
| Practice Address |
2584 W Sandy Mush Rd Merced CA 95341-8713 |
| Mailing Address |
2511 Garden Road Suite A160 Monterey CA 93940 |
| Practice Telephone | 2093857618 |
| Practice Fax Number | 2093857480 |
| Mailing Telephone | 8316498994 |
| Mailing Fax Number | 8316498286 |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2017-06-29 |
| Authorized Official Name | RAYMOND KARL HERR (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 9319013278 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| CFMG | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467982017 | California Forensic Medical Group, Inc. | Clinic/Center | 5325 Broder Blvd, Dublin, CA 94568-3309 | 2017-06-15 |
| 1487061859 | California Forensic Medical Group, Inc. | Custodial Care Facility | 2511 Garden Rd, Suite A160, Monterey, CA 93940-5330 | 2014-07-17 |
| Street Address |
2584 W SANDY MUSH RD |
| City | MERCED |
| State | CA |
| Zip Code | 95341-8713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518335546 | Keriann Quinn-fitzpatrick | Nurse Practitioner | 2584 W Sandy Mush Rd, Merced, CA 95341-8713 | 2015-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942520 | Samantha Canal | Counselor | 300 E 13th St Suite C, Merced, CA 95341 | 2020-08-11 |
| 1043874100 | Phyllis A Patterson | Peer Specialist | 490 E 13th Street, Merced, CA 95341 | 2019-04-24 |
| 1093209488 | Cierra Nicole Sweet | Case Manager/Care Coordinator | 490 E 13th St, Merced, CA 95341 | 2018-06-19 |
| 1528444148 | Mirian Cardenas | Counselor | 301 E 13th St Ste D, Merced, CA 95341 | 2015-08-05 |
| 1962839290 | Jessica Perez | Counselor | 480 East 13th Street, Building, Merced, CA 95341 | 2013-10-01 |
| 1235417171 | Mayla T Carlos | Physician Assistant | 847 W. Childs Ave., Merced, CA 95341 | 2011-07-26 |
| 1588951883 | Altia N Johnson | Registered Nurse | 260 E 15th Street, Merced, CA 95341 | 2011-07-07 |
| 1598061657 | County of Merced | Clinic/Center | 490 E. 13th Street, Merced, CA 95341 | 2011-02-07 |
| 1275710741 | Kathryn Renee Rodriguez | Social Worker | 2777 N Highway 59, Merced County Adult Services, Merced, CA 95341 | 2008-01-28 |
| 1700060324 | Irene Miranda-henson | Registered Nurse | 797 West Childs Avenue, Merced, CA 95341 | 2007-12-18 |
| Find all providers in zip 95341 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
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| 1336799170 | Sierra Care At The Lake,llc | Custodial Care Facility | 648 W Sierra Ave, Clovis, CA 93612-0151 | 2019-09-13 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1558825133 | Calrecup Care, Inc | Custodial Care Facility | 10510 S Vermont Ave, Los Angeles, CA 90044-3022 | 2019-01-28 |
| 1083185474 | Ray Joanne Leyva | Custodial Care Facility | 15617 Red Oak Way, Victorville, CA 92394-3228 | 2018-12-10 |
| 1760965081 | W.p.r. LLC | Custodial Care Facility | 2733 Country Club Blvd Apt 87, Stockton, CA 95204-3975 | 2018-09-12 |
| 1730674342 | Harbor Recuperative Care LLC | Custodial Care Facility | 11134 Sepulveda Blvd, Mission Hills, CA 91345-1114 | 2018-06-26 |
| 1548778152 | Sk Marathon Home Care | Custodial Care Facility | 7246 Fallbrook Ave, West Hills, CA 91307 | 2018-01-17 |
| 1386176808 | Mickey Iliescu | Custodial Care Facility | 7125 Main Ave, Orangevale, CA 95662-2813 | 2017-04-03 |
| 1013454289 | A Caring Heart Residence, Inc. | Custodial Care Facility | 371 E Millan St, Chula Vista, CA 91910-6313 | 2017-01-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.