Tammy Lajaun Merritt

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

15095 Amargosa Rd
101
Victorville, CA 92394-1879

Phone

(760) 245-4695

Fax

(760) 513-4696

NPI assigned

May 24, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Victor Community Support Services Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Victorville, CA
  • NPI 1629120498
  NPD (past)

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1376836320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15095 AMARGOSA RD",
            "address_2": "201",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923941879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15095 AMARGOSA RD",
            "address_2": "101",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923941879",
            "telephone_number": "760-245-4695",
            "fax_number": "760-513-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "TAMMY",
        "middle_name": "LAJAUN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Effie Mercado
• Matthew Mercado
• Diane Carolyn Mercer
• Mercy Air Service, Inc.
• Sandra Elizabeth Merida
• Elsa Mesina, MSBA RDN, RN
• Jorgina Ann Meza
• Michael Guerret, O.D. Inc.
• Michael L. Jacobsen, D.D.S., M.S., Inc.
• Michael M. Fanous, D.P.M., Inc.

• Community Health Worker in Victorville, CA
• Providers in Victorville, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.