UNIVERSITY OF CALIFORNIA, MERCED STUDENT HEALTH SERVICES (NPI# 1376868703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376868703 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF CALIFORNIA, MERCED STUDENT HEALTH SERVICES |
| Practice Address |
5200 N Lake Rd H. Rajender Reddy Health Center Merced CA 95343-5001 |
| Practice Telephone | 2092282273 |
| Practice Fax Number | 2092287650 |
| Mailing Telephone | 2092282273 |
| Mailing Fax Number | 2092287650 |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |
| Authorized Official Name | MR. GREG SPURGEON (ASSISTANT DIRECTOR) |
| Authorized Official Telephone | 2092282990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Street Address |
5200 N LAKE RD H. RAJENDER REDDY HEALTH CENTER |
| City | MERCED |
| State | CA |
| Zip Code | 95343-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013072057 | Christina Hicks | Physician Assistant | 5200 N Lake Rd, H. Rajender Reddy Health Center, Merced, CA 95343-5001 | 2006-12-27 |
| 1457889669 | Jeremy Bowen | Specialist/Technologist | 5200 N Lake Rd, Merced, CA 95343-5001 | 2017-06-01 |
| 1164960860 | Kevin Gilbert Vieira | Student in an Organized Health Care Education/Training Program | 5200 N Lake Rd, Merced, CA 95343-5001 | 2017-02-02 |
| 1760843833 | Jason Roberts | Specialist/Technologist | 5200 N Lake Rd, Merced, CA 95343-5001 | 2016-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487211678 | Tiffani Regacho | Specialist/Technologist | 5200 N Lake Rd Apt 5, Merced, CA 95343-5001 | 2019-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
| 1316546211 | Irene Isabella Nunez | Behavior Technician | 2997 Hampshire Ct, Merced, CA 95340-2374 | 2020-10-21 |
| 1306445267 | Laurie Gonzalez | Behavior Technician | 368 E Yosemite Ave Ste 200g, Merced, CA 95340-9100 | 2020-10-21 |
| 1902403983 | Ellieanna M Ford | Behavior Technician | 368 E Yosemite Ave, Merced, CA 95340-9100 | 2020-10-02 |
| 1932712403 | Heather L Shoopman | Licensed Vocational Nurse | 300 E 15th St Ste D, Merced, CA 95341-6217 | 2020-08-25 |
| 1356953848 | Jaeson M Fetalvero | Licensed Practical Nurse | 3834 Colma Ave, Merced, CA 95348-8719 | 2020-08-18 |
| 1497367924 | Changing Lives In The Central Valley LLC | Chore Provider | 478 E Yosemite Ave Ste C, Merced, CA 95340-8467 | 2020-08-17 |
| 1336750025 | Harvey Soza | Case Manager/Care Coordinator | 2764 Madrid Ave, Merced, CA 95348-1337 | 2020-08-14 |
| 1255942520 | Samantha Canal | Counselor | 300 E 13th St Suite C, Merced, CA 95341 | 2020-08-11 |
| 1942819628 | Florence Wairimu Thomsen | Nurse Practitioner | 12 Aldrich Dr, Merced, CA 95348-8516 | 2020-07-28 |
| Find all providers in MERCED | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756103 | Wonderful Center for Health Innovation Inc | Clinic/Center | 14848 Lamberson Ave, Lost Hills, CA 93249 | 2020-10-06 |
| 1811452493 | Wonderful Center for Health Innovation Inc | Clinic/Center | 2070 Veneto St, Delano, CA 93215-9122 | 2019-02-07 |
| 1386134815 | Ventura County Community College District | Clinic/Center | 4667 Telegraph Road, Ventura, CA 93003-3872 | 2018-05-10 |
| 1104339761 | Kern Community College District | Clinic/Center | 1801 Panorama Dr, Bakersfield, CA 93305-1219 | 2017-11-06 |
| 1104342393 | Yosemite Community College District | Clinic/Center | 11600 Columbia College Dr, Sonora, CA 95370-8560 | 2017-08-18 |
| 1750813663 | Yosemite Community College District | Clinic/Center | 435 College Ave, Modesto, CA 95350-5808 | 2017-03-30 |
| 1275937682 | Emmons Student Wellness Center | Clinic/Center | 1600 Campus Rd # F-57, Emmons Wellness Center, Los Angeles, CA 90041-3314 | 2014-10-14 |
| 1083036495 | Nora Anderson | Clinic/Center | 1603 Merion Way, 42 G, Seal Beach, CA 90740-4984 | 2014-01-21 |
| 1386082766 | Esteban E. Torres High School Clinic | Clinic/Center | 4127 East Cesar Chavez Avenue, Los Angeles, CA 90063 | 2013-06-07 |
| 1770920787 | Allan Hancock College | Clinic/Center | 800 S College Dr, Santa Maria, CA 93454-6399 | 2013-05-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on UNIVERSITY OF CALIFORNIA, MERCED STUDENT HEALTH SERVICES.
| 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.