Individual provider Active NPI

Maria Therese Dela Merced, NP

  • Gerontology Nurse Practitioner
  • Reseda, CA
National Provider Identifier
1255971743
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95013531 Issued in CA
Practice address
7012 Reseda Blvd Ste 100
Reseda, CA 91335-4219
Phone
(747) 265-6423
NPI assigned
Jan 13, 2020
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 95013531 CA
Gerontology Nurse Practitioner 363LG0600X 95013531 CA Primary

Addresses

Primary practice location

7012 Reseda Blvd Ste 100
Reseda, CA 91335-4219

Mailing address

10515 Balboa Blvd Ste 285
Granada Hills, CA 91344-6398
Phone (661) 310-8175

Other practice location 1

10515 Balboa Blvd Ste 285
Granada Hills, CA 91344-6398
Phone (818) 363-3000

Other practice location 2

27215 Cloverhurst Pl
Canyon Country, CA 91387-3803
Phone (818) 708-4058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231129001283 CA Practitioner - Nurse Practitioner 1153779376 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de la Merced CurrentSince Jul 1, 2025 Accepting new patients
David J. Hernandez MD a Professional Medical Corporation CurrentSince Sep 11, 2023 Accepting new patients

Locations

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1255971743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD STE 285",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446398",
            "telephone_number": "661-310-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7012 RESEDA BLVD STE 100",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354219",
            "telephone_number": "747-265-6423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10515 Balboa Blvd Ste 285",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913446398",
            "country_code": "US",
            "telephone_number": "818-363-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27215 Cloverhurst Pl",
            "address_purpose": "LOCATION",
            "city": "Canyon Country",
            "state": "CA",
            "postal_code": "913873803",
            "country_code": "US",
            "telephone_number": "818-708-4058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELA MERCED",
        "first_name": "MARIA",
        "middle_name": "THERESE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95013531",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95013531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.