Mercy Health

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

MERCY HEALTH

Practice address

11515 Artesia Blvd Ste 202
Artesia, CA 90701-3852

Phone

(877) 207-6199

NPI assigned

Jun 12, 2024

Organization subpart

No

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

Authorized official

Name

Jean Ly, PHARM.D.

Title

Founder

Phone

(714) 309-2068

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1114769957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11515 ARTESIA BLVD STE 202",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013852",
            "telephone_number": "877-207-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 ARTESIA BLVD STE 202",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013852",
            "telephone_number": "877-207-6199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 E 4th St Ste 309",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927053907",
            "country_code": "US",
            "telephone_number": "877-207-6199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "714-309-2068",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in Artesia, CA
• Providers in Artesia, CA by specialty
• Voluntary or Charitable Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.