Organization Active NPI

Clinica de la Merced

  • Primary Care Clinic/Center
  • Reseda, CA
National Provider Identifier
1003624263
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CLINICA DE LA MERCED
Practice address
7012 Reseda Blvd # 100
Reseda, CA 91335-4219
Phone
(747) 265-6423
Fax
(747) 265-6424
NPI assigned
Dec 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maria Therese De la Merced, NPNPI 1255971743
Title
NP
Phone
(747) 265-6423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

7012 Reseda Blvd # 100
Reseda, CA 91335-4219

Mailing address

7012 Reseda Blvd # 100
Reseda, CA 91335-4219
Phone (747) 265-6423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250714002059 CA Part B Supplier - Clinic/Group Practice 1153836796 Receives reassigned benefits from 1 practitioner
Practice locations: Reseda, CA

National Provider Directory

National Provider Directory

Locations

7012 Reseda Blvd
Ste E
Reseda, CA 91335
Phone (747) 265-6423

7012 Reseda Blvd
#100
Reseda, CA 91335
Phone (747) 265-6423

7012 Reseda Blvd
Ste 100
Reseda, CA 91335
Phone (747) 229-2070

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1003624263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7012 RESEDA BLVD # 100",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354219",
            "telephone_number": "747-265-6423",
            "fax_number": "747-265-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7012 RESEDA BLVD # 100",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354219",
            "telephone_number": "747-265-6423",
            "fax_number": "747-265-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE LA MERCED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "DE LA MERCED",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "747-265-6423",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.