Active NPI
Mariana Anastasia Mojica, RN
- Mental Illness Intermediate Care Facility
- Merced, CA
National Provider Identifier
1104224732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Intermediate Care Facility
- License
- 95037524
- Practice address
- 300 E 15TH St
Merced, CA 95341-6217 - Phone
- (209) 381-6879
- NPI assigned
- Dec 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Intermediate Care Facility | 310500000X | 95037524 | CA | Primary |
Addresses
Primary practice location
300 E 15TH St
Merced, CA 95341-6217
Mailing address
3545 Sarasota Ave
Merced, CA 95348-9399
Phone (209) 233-4501
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95037524 | Other | CA | RN LICENSE |
| CA02761 | Other | CA | BLS |
| CA15264 | Other | CA | ACLS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95037524 | CA | MD | Mental Illness Intermediate Care Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418515200000",
"number": "1104224732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 SARASOTA AVE",
"city": "MERCED",
"state": "CA",
"postal_code": "953489399",
"telephone_number": "209-233-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E 15TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953416217",
"telephone_number": "209-381-6879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOJICA",
"first_name": "MARIANA",
"middle_name": "ANASTASIA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-14",
"last_updated": "2014-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "310500000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Mental Illness",
"state": "CA",
"license": "95037524",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "95037524",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLS",
"identifier": "CA02761",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACLS",
"identifier": "CA15264",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.