MRS. LINDA GRACE OTTEMOELLER (NPI# 1912978115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912978115 |
| Entity Type | Individual |
| Full Name | MRS. LINDA GRACE OTTEMOELLER |
| Credential | M.D. |
| Practice Address |
315 Mercy Ave Ste 400 Merced CA 95340 |
| Practice Telephone | 2095643700 |
| Practice Fax Number | 2095643725 |
| Mailing Telephone | 2095643700 |
| Mailing Fax Number | 2095643725 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2016-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
G67412 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G674120 | 05 |
| Street Address |
315 MERCY AVE STE 400 |
| City | MERCED |
| State | CA |
| Zip Code | 95340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174508865 | Alfred B Johnson | Surgery | 315 Mercy Ave, Merced, CA 95340-8363 | 2005-12-14 |
| 1013411404 | Massud R Weiss | Student in an Organized Health Care Education/Training Program | 315 Mercy Ave, Merced, CA 95340-8363 | 2018-03-20 |
| 1114421534 | Thu Phuoc Anh Truong | Student in an Organized Health Care Education/Training Program | 315 Mercy Ave, Merced, CA 95340-8363 | 2018-03-20 |
| 1952834947 | Alex Tanaka Chin | Student in an Organized Health Care Education/Training Program | 315 Mercy Ave, Suite 301, Merced, CA 95340-8363 | 2017-04-06 |
| 1114459997 | Radhika Bali | Student in an Organized Health Care Education/Training Program | 315 Mercy Ave, Ste. 301, Merced, CA 95340-8363 | 2017-03-30 |
| 1982055760 | Jaspreet Singh Nanra | Family Medicine | 315 Mercy Ave, Suite 301, Merced, CA 95340-8363 | 2016-06-23 |
| 1912357567 | Yang Cao | Student in an Organized Health Care Education/Training Program | 315 Mercy Ave, Suite 301, Merced, CA 95340-8363 | 2016-06-14 |
| 1821459785 | Masooma Mujeeb | Family Medicine | 315 Mercy Ave, Suite 301, Merced, CA 95340-8363 | 2016-03-18 |
| 1316314693 | Vida Vreca-ponnequin | Nurse Practitioner | 315 Mercy Ave, Suite 400, Merced, CA 95340 | 2015-08-21 |
| 1477943199 | Eileen Kim | Family Medicine | 315 Mercy Ave, Suite 400, Merced, CA 95340-8363 | 2015-02-02 |
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| 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 |
| Find all providers in zip 95340 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
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| 1568927754 | J Kingsley Fife | Obstetrics & Gynecology | 1165 Las Pulgas Pl, Pacific Palisades, CA 90272-2440 | 2019-02-01 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1396253340 | Yasharpour Medical Doctor, Inc A Professional Medical Corporation | Obstetrics & Gynecology | 21013 Sherman Way Ste 4, Canoga Park, CA 91303-3675 | 2018-01-11 |
| 1851828222 | Desert Valley Obgyn Inc | Obstetrics & Gynecology | 39000 Bob Hope Dr Ste 303, Rancho Mirage, CA 92270-3221 | 2017-05-17 |
| 1295274660 | Koe Medical Consulting, Inc. | Obstetrics & Gynecology | 5680 Trinidad Way, San Diego, CA 92114-5310 | 2017-02-18 |
| 1518404441 | Women's Health Care Research Corporation | Obstetrics & Gynecology | 3750 Convoy St Ste 311, San Diego, CA 92111-3741 | 2017-01-30 |
| 1730626722 | Aela Paiz Do Inc | Obstetrics & Gynecology | 9620 Clybourn Ave, Sun Valley, CA 91352-1623 | 2017-01-27 |
| 1538521125 | Randal Sloop Md Inc | Obstetrics & Gynecology | 2068 Talbert Dr Ste 150, Chico, CA 95928-7723 | 2016-03-23 |
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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.