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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
A61619 | CA | Ambulatory Health Care Facilities |
Street Address |
3389 G ST SUITE A |
City | MERCED |
State | CA |
Zip Code | 95340-0981 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063045706 | Pharmedquest Pharmacy Services | Pharmacy | 3940 Sandpiper Avenue, Pharmacy 181, Merced, CA 95340 | 2020-02-21 |
1548809668 | Michelle Melara | Behavior Technician | 3313 G Street, Suite B, Merced, CA 95340 | 2020-01-06 |
1417593070 | Emilio Jose Guzman | Behavior Technician | Autism Learning Partners 3313 G. Street, Suite B, Merced, CA 95340 | 2019-11-19 |
1477106383 | Anita Leigh Johnson | Nurse Practitioner | 3349 G Street, Suite C Bldg. K, El Portal Plaza, Merced, CA 95340 | 2019-07-19 |
1609439470 | Bobby Shan | Student in an Organized Health Care Education/Training Program | Mercy Medical Center Merced, 315 Mercy Avenue, Ste. 301, Merced, CA 95340 | 2019-04-17 |
1508333253 | Golden Valley Health Center | Clinic/Center | 3940 Sandpiper Ave., Merced, CA 95340 | 2018-10-31 |
1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
1841702271 | Tou Chang | Pharmacist | 3350 G Street, Merced, CA 95340 | 2017-10-25 |
1154842466 | Miller and Skinner Dental Corporation | Dentist | 560 W. 26th St., Merced, CA 95340 | 2017-06-28 |
1053859314 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2025 E. Santa Fe Dr., Merced, CA 95340 | 2017-02-07 |
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Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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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.