MS. STEPHANIE HARRIS MERCADO (NPI# 1508909888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508909888 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE HARRIS MERCADO |
| Credential | PA-C |
| Practice Address |
5784 S Elm Ave Fresno CA 93706-5813 |
| Practice Telephone | 5595156625 |
| Practice Fax Number | 5595156450 |
| Mailing Telephone | 5595156625 |
| Mailing Fax Number | 5595156450 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA19059 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1275 E Spruce Ave Ste 103, Fresno, CA 937203372 | 5594320716 | 5594324545 |
| 4770 W Herndon Ave Ste 111, Fresno, CA 937228401 | 5594502273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972157782 | Stephanie Rachel Mercado | Health Educator | 9521 San Mateo Blvd Ne, Albuquerque, NM 87113-2237 | 2019-07-30 |
| 1720335870 | Stephanie K Mercado | Rehabilitation Practitioner | 2349 Renaissance Dr, Las Vegas, NV 89119-6191 | 2012-08-08 |
| Street Address |
5784 S ELM AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93706-5813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366496671 | Sequoia Community Health Foundation, Inc. | Clinic/Center | 5784 S Elm Ave, Fresno, CA 93706-5813 | 2006-05-20 |
| 1982854550 | Clinica Sierra Vista | Clinic/Center | 5784 S Elm Ave, Fresno, CA 93706-5813 | 2008-09-19 |
| 1225287808 | Clinica Sierra Vista | Clinic/Center | 5784 S Elm Ave, Fresno, CA 93706-5813 | 2008-09-18 |
| 1336398908 | Clinica Sierra Vista | Clinic/Center | 5784 S Elm Ave, Fresno, CA 93706-5813 | 2008-09-18 |
| 1194852566 | Sequoia Community Health Foundation, Inc | Clinic/Center | 5784 S Elm Ave, Fresno, CA 93706-5813 | 2007-02-27 |
| 1114054582 | Sequoia Community Health Foundation, Inc | Clinic/Center | 5784 S Elm Ave, Fresno, CA 93706-5813 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1821567538 | Misty Dawn Shepherd | Counselor | 2772 Martin L King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1497224125 | Jose Jimenez | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1023587730 | James John Pokorny IIi | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1932574225 | Brandi Leos | Counselor | 2772 Mlk Jr. Blvd, Fresno, CA 93706 | 2015-12-11 |
| 1174998199 | Jeremiah Hinojosa | Counselor | 2772 S M.l.k. Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| 1538534557 | Megan Mahoney | Counselor | 2772 S Martin Luther King Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| Find all providers in zip 93706 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881972164 | Pamela Oliver | Physician Assistant | 1187 E Herndon Ave Ste 106, Fresno, CA 93720-3166 | 2011-08-03 |
| 1750505061 | Bounmy - Pinyasone | Physician Assistant | 141 N. Clark Street, Suite A, Fresno, CA 93701-2124 | 2007-04-11 |
| 1134253180 | Joseph John Contreras | Physician Assistant | 6065 N 1st St, Suite 102, Fresno, CA 93710-5469 | 2007-03-14 |
| 1083653729 | Sheri Lynn Oswald | Physician Assistant | 1646 E Herndon Ave, Suite 106, Fresno, CA 93720-3380 | 2006-06-06 |
| 1447247820 | Miriam Levitt | Physician Assistant | 4770 W Herndon Ave, Fresno, CA 93722-8401 | 2005-09-30 |
| 1285257063 | Blake Phillip Dreihaus | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-27 |
| 1710509013 | Katherine Marie Pate | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-11 |
| 1982187100 | Theresa Ann Dwyer | Physician Assistant | 2335 E Kashian Ln Ste 240, Fresno, CA 93701-2211 | 2018-09-13 |
| 1639699853 | Gabrielle Melissa Powell | Physician Assistant | 2210 E Illinois Ave Ste 201, Fresno, CA 93701-2184 | 2017-06-20 |
| 1891220323 | Amy Maier | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2017-04-21 |
| Find all providers in FRESNO | ||||
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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.