Maria Mercedes Tinana Polanes

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

21159 Issued in CA

Practice address

1800 Central Ave
Ceres, CA 95307-1807

Phone

(209) 556-1620

NPI assigned

Mar 9, 2026

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1750237087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 LAWRENCE ST",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953073301",
            "telephone_number": "209-556-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CENTRAL AVE",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953071807",
            "telephone_number": "209-556-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANES",
        "first_name": "MARIA MERCEDES",
        "middle_name": "TINANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "21159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Phan
• Lisa Phetchamphone
• Chase Phillips
• Elizabeth Marie Pike, CADCII-CA
• Dylan John Pinatelli, PA-C
• Kristen Poole
• Barbara Milagros Porrello Perez, MD
• Emily Porter, LVN
• Robert Potter, RN
• Sarah K Poulson, M.A. COUN PSYCH

• Speech-Language Pathologist in Ceres, CA
• Providers in Ceres, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.