MERCY MANAEN (NPI# 1851729768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851729768 |
| Entity Type | Individual |
| Full Name | MERCY MANAEN |
| Practice Address |
164 W Hospitality Ln # 100 San Bernardino CA 92408 |
| Mailing Address |
164 W Hospitality Ln Ste 100 San Bernardino CA 92408-3316 |
| Practice Telephone | 9094406840 |
| Mailing Telephone | 9099919495 |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2018-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21619 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 38850 High Ridge Dr, Beaumont, CA 922238070 | 9099919495 |
| Street Address |
164 W HOSPITALITY LN # 100 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
| 1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
| 1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
| 1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
| 1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
| 1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
| Find all providers in zip 92408 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205378437 | Tristar Home Visit Providers Inc | Nurse Practitioner | 275 W Hospitality Ln Ste 103a, San Bernardino, CA 92408-3238 | 2016-11-04 |
| 1801282074 | Andrea Wade | Nurse Practitioner | 351 N Mountain View Ave Fas, San Bernardino, CA 92415-3115 | 2015-04-14 |
| 1912396201 | Eric Eschweiler | Nurse Practitioner | 590 N D St, San Bernardino, CA 92401-1352 | 2015-01-09 |
| 1437551561 | Priscilla Naamomo Otubuah | Nurse Practitioner | 164 W Hospitality Ln Ste 100, San Bernardino, CA 92408-3316 | 2014-09-19 |
| 1841628930 | Sarita Shivakoti | Nurse Practitioner | 2150 N Waterman Ave Ste 200, San Bernardino, CA 92404-4811 | 2013-10-29 |
| 1841584778 | Sheryl Lee O. De La Cruz | Nurse Practitioner | 1850 S Waterman Ave Ste D, San Bernardino, CA 92408-2852 | 2011-06-08 |
| 1255630398 | Tracy Ann Preston | Nurse Practitioner | 1543 W 8th St, San Bernardino, CA 92411-2566 | 2011-03-15 |
| 1982905410 | Dr Ruth Tanyi, Inc | Nurse Practitioner | 577 N D St Ste 101, San Bernardino, CA 92401-1326 | 2010-11-15 |
| 1639382773 | Cathy Sampson-siriani | Nurse Practitioner | 3704 Canyon Terrace Dr, 9680 Citrus Ave, Blgd#33 Fontana, Ca 92335, San Bernardino, CA 92407-4106 | 2007-05-07 |
| 1851516538 | Sandra Peeke | Nurse Practitioner | 1873 Commercenter W, San Bernardino, CA 92408-3303 | 2007-04-16 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92408 |
Please comment or provide details below to improve the information on MERCY MANAEN.
| 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.