Nicolas de la Pena MD Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

A61619 Issued in CA

Legal business name

NICOLAS DE LA PENA MD INC

Practice address

3389 G St
Suite a
Merced, CA 95340-0981

Phone

(209) 722-1205

Fax

(209) 722-7833

NPI assigned

Dec 13, 2011

Organization subpart

No

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

Authorized official

Name

Nicolas R Dela Pena, MDNPI 1043204605

Title

President

Phone

(209) 722-1205

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicolas R Delapena, M.D.

  • Infectious Disease Physician
  • Merced, CA
  • NPI 1043204605
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1578831996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3389 G ST",
            "address_2": "SUITE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400981",
            "telephone_number": "209-722-1205",
            "fax_number": "209-722-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3389 G ST",
            "address_2": "SUITE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400981",
            "telephone_number": "209-722-1205",
            "fax_number": "209-722-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLAS DE LA PENA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "DELA PENA",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-722-1205",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "A61619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khang Cong Nguyen, DDS
• Kiet Thuong Nguyen, D.C.
• Thanh Dinh Nguyen, M.D.
• Theresa Boi Ngoc Nguyen, OD
• Kathleen Carmen Nichols
• Elodia June Nieto
• Georgia Nieves
• Reyna Edith Nieves
• Reina Jenny Nino
• Abigail Mendoza Nipales, LVN

• Health Service Clinic/Center in Merced, CA
• Providers in Merced, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.