NICOLAS DE LA PENA MD INC


Address: 3389 G St, Suite A, Merced, CA 95340-0981
Phone: 2097221205

NICOLAS DE LA PENA MD INC (NPI# 1578831996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578831996
Entity Type Organization
Organization Name NICOLAS DE LA PENA MD INC
Practice Address 3389 G St
Suite A
Merced
CA 95340-0981
Practice Telephone 2097221205
Practice Fax Number 2097227833
Mailing Telephone 2097221205
Mailing Fax Number 2097227833
Enumeration Date 2011-12-13
Last Update Date 2011-12-13
Authorized Official Name NICOLAS R DELA PENA (PRESIDENT)
Authorized Official Telephone 2097221205
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
A61619 CA Ambulatory Health Care Facilities

Office Location

Street Address 3389 G ST
SUITE A
City MERCED
State CA
Zip Code 95340-0981

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043204605 Nicolas R Delapena Internal Medicine 3389 G St, Suite A, Merced, CA 95340-0964 2005-09-09
1245403500 Sunit R Patel Md A Professional Corp Specialist 3389 G St, Suite B, Merced, CA 95340-0981 2008-04-08

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1063045706 Pharmedquest Pharmacy Services Pharmacy 3940 Sandpiper Avenue, Pharmacy 181, Merced, CA 95340 2020-02-21
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1639323355 Alpha Pregnancy Help Center Clinic/Center 645 W Olive Ave, Suite 321, Merced, CA 95348-2433 2008-11-07

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Competitor

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City MERCED
Zip Code 95340

Improve Information

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Dataset Information

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.

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