Mercy Medical Center Merced

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

540215 Issued in CA

Legal business name

MERCY MEDICAL CENTER MERCED

Practice address

1260 D St
Merced, CA 95341-6248

Phone

(209) 725-7551

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Alicia Boelke

Title

Supervisor

Phone

(209) 385-7840

Specialties & licenses 1

Addresses

Practitioners 2

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

• Monica F. Blaisdell, CPNP

  • Pediatric Nurse Practitioner
  • Merced, CA
  • NPI 1346444346
  NPD (past)
• June L Boffman, CPNP

  • Pediatric Nurse Practitioner
  • Merced, CA
  • NPI 1568644078
  NPD (past)

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1710170394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 D ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416248",
            "telephone_number": "209-725-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 D ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416248",
            "telephone_number": "209-725-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL CENTER MERCED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "BOELKE",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "209-385-7840"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "540215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merced Turlock Nephrology (Turlock Dialysis Center)
• Merced Turlock Nephrology Med Group Inc.
• Merced Urology Medical Group, Inc.
• Merced VC (Merced Procedural Center)
• Merced Womens Center for Advanced Pelvic Surgery
• Mercy Medical Center Merced
• Joshua Merrill
• Katie Marie Meyer, D.O.
• Kellee D. Meyer, O.D.
• Michelle Meza, OD

• Primary Care Clinic/Center in Merced, CA
• Providers in Merced, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.