WESTSIDE MEDICAL GROUP, INC (NPI# 1467696203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467696203 |
| Entity Type | Organization |
| Organization Name | WESTSIDE MEDICAL GROUP, INC |
| Practice Address |
1107 O St Firebaugh CA 93622-2224 |
| Practice Telephone | 5596599000 |
| Practice Fax Number | 5596599017 |
| Mailing Telephone | 5596599000 |
| Mailing Fax Number | 5596599017 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |
| Authorized Official Name | DR. RANDALL G STERN (OWNER) |
| Authorized Official Telephone | 5592892718 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTSIDE MEDICAL GROUP, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HAP53929F | 05 |
| Street Address |
1107 O ST |
| City | FIREBAUGH |
| State | CA |
| Zip Code | 93622-2224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811095037 | Marieta T Marcial | Nurse Practitioner | 1107 O St, Firebaugh, CA 93622-2224 | 2006-09-20 |
| 1568657351 | Poladian & Mamigonian | Chiropractor | 1107 O St, Firebaugh, CA 93622-2224 | 2007-09-13 |
| 1073721304 | Lisa Sonia Frutos | Nurse Practitioner | 1107 O St, Firebaugh, CA 93622-2224 | 2007-05-18 |
| 1831235605 | Westside Medical Group, Inc. | Clinic/Center | 1107 O St, Firebaugh, CA 93622-2224 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558638601 | Valley Health Team, Inc. | Clinic/Center | 927 O St, Firebaugh, CA 93622 | 2011-11-17 |
| 1932307485 | Maritess Garcia Fuentes | Family Medicine | 927 O St, Firebaugh, CA 93622-2220 | 2007-07-06 |
| 1710973060 | Oscar Mangarero Sablan | Internal Medicine | 979 O St, Ste B, Firebaugh, CA 93622-2220 | 2005-09-22 |
| 1386057354 | Amandeep Kaur Kahal | Family Medicine | 927 O St, Firebaugh, CA 93622-2220 | 2014-06-08 |
| 1477992584 | Diana Oviedo-cavazos | Family Medicine | 927 O St, Firebaugh, CA 93622-2220 | 2013-06-21 |
| 1295051571 | Satnam Singh Bangar | Family Medicine | 927 O St, Firebaugh, CA 93622-2220 | 2010-04-13 |
| 1568679397 | Sablan Medical Corporation | Family Medicine | 979 O St, Ste B, Firebaugh, CA 93622-2220 | 2007-05-17 |
| 1649266990 | Marcia Eckelman Sablan | Family Medicine | 979 O St, Ste B, Firebaugh, CA 93622-2220 | 2005-09-22 |
| 1386798338 | Evelyn Aguilera Kramer | Physician Assistant | 992 O St, Firebaugh, CA 93622-2221 | 2007-01-23 |
| 1053344259 | Patrick Doucette | Dentist | 910 O St, Firebaugh, CA 93622-2221 | 2006-07-09 |
| Find all providers in zip 93622 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326262965 | Firebaugh and Mendota Health Clinics, Inc. | Clinic/Center | 992 O St, Firebaugh, CA 93622-2221 | 2007-04-13 |
| 1831235605 | Westside Medical Group, Inc. | Clinic/Center | 1107 O St, Firebaugh, CA 93622-2224 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699620 | Reedley Community Hospital | Clinic/Center | 398 S Church Road, Earlimart, CA 93219 | 2020-11-06 |
| 1174130942 | Kaweah Delta Health Care District | Clinic/Center | 1000 N Mooney Blvd, Tulare, CA 93274-2417 | 2020-09-25 |
| 1922614197 | Sierra View Local Health Care District | Clinic/Center | 9520 Road 238, Terra Bella, CA 93270 | 2020-09-22 |
| 1124643598 | Valley Healthcare Centers | Clinic/Center | 369 N Church Rd, Earlimart, CA 93219 | 2020-06-11 |
| 1477177210 | Anand Narayan Md Inc | Clinic/Center | 317 W El Monte Way, Dinuba, CA 93618-1557 | 2020-06-06 |
| 1902435894 | Slt Medical Group Inc | Clinic/Center | 2024 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6498 | 2020-04-03 |
| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1790331817 | Valley Healthcare Centers | Clinic/Center | 252 N Highway 65, Lindsay, CA 93247-2702 | 2019-08-14 |
| 1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
| 1679038434 | Ridgecrest Regional Hospital | Clinic/Center | 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WESTSIDE MEDICAL GROUP, INC.
| 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.