Healthcare Provider Details

I. General information

NPI: 1528626801
Provider Name (Legal Business Name): MARIA BARAJAS-MCGAHAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2019
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 W BULLARD AVE
CLOVIS CA
93612-0861
US

IV. Provider business mailing address

255 W BULLARD AVE
CLOVIS CA
93612-0861
US

V. Phone/Fax

Practice location:
  • Phone: 559-325-5715
  • Fax: 559-325-5735
Mailing address:
  • Phone: 559-325-5715
  • Fax: 559-325-5735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA193799
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: