Active NPI
Bernadette De Guzman Mercado, NP
- Family Nurse Practitioner
- Valencia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95016969
- Practice address
- 23428 Magic Mountain Pkwy Apt 1404
Valencia, CA 91355-2187 - Phone
- (224) 247-8277
- NPI assigned
- Sep 21, 2021
- Last updated
- Sep 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95016969 | CA | Primary |
Addresses
Primary practice location
23428 Magic Mountain Pkwy Apt 1404
Valencia, CA 91355-2187
Mailing address
23428 Magic Mountain Pkwy Apt 1404
Valencia, CA 91355-2187
Phone (224) 247-8277
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- El Proyecto del Barrio Inc
Practice addresses (Care Compare)
18250 Roscoe Blvd
Suite 200
Northridge, CA 91325-4226
Phone (818) 721-4800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95016969 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minghsun Liu, M.D., PC | Current | Accepting new patients |
Locations
11103 Venice Blvd
Los Angeles, CA 90034
Phone (310) 734-8526
200 S Park Rd
Ste 200
Hollywood, FL 33021
Phone (866) 986-2263
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1659042596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23428 MAGIC MOUNTAIN PKWY APT 1404",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913552187",
"telephone_number": "224-247-8277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23428 MAGIC MOUNTAIN PKWY APT 1404",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913552187",
"telephone_number": "224-247-8277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "BERNADETTE",
"middle_name": "DE GUZMAN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-21",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95016969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.