Bianca Vanessa Mercado, LM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

LM488 Issued in CA

Practice address

3633 Camino del Rio S Ste 206
San Diego, CA 92108-4014

Phone

(408) 209-2234

Fax

(619) 761-5825

NPI assigned

Aug 5, 2013

Last updated

Jul 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• La Matriz Birth Services Inc

  dba La Matriz Birth INC

  • Midwife
  • San Diego, CA
  • NPI 1710708474
  NPD Authorized official

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1295167062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6752 HIBISCUS DR",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451316",
            "telephone_number": "408-209-2234",
            "fax_number": "619-761-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 CAMINO DEL RIO S STE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084014",
            "telephone_number": "408-209-2234",
            "fax_number": "619-761-5825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6752 Hibiscus Dr",
            "address_purpose": "LOCATION",
            "city": "Lemon Grove",
            "state": "CA",
            "postal_code": "919451316",
            "country_code": "US",
            "telephone_number": "408-209-2234",
            "fax_number": "619-761-5825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "BIANCA",
        "middle_name": "VANESSA",
        "name_prefix": "Mrs.",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM488",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "CA",
            "license": "9863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivan Alejandro Mercado Pena
• Victor Hugo Mercado Thomas
• Aida Josef Mercado-Agustin, RN
• Aurelio Mercado
• Bernadette N Mercado
• Elizabeth Mercado
• Jeffry Jacob Mercado, M.D.
• Joana Mercado, MS, RD
• Luciana Mercado
• Maria Mercado

• Midwife in San Diego, CA
• Providers in San Diego, CA by specialty
• Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.