Maria Teresa Mercado-Gans, MSN, PHN, RN, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

95022207 Issued in CA

Practice address

4820 Business Center Dr Ste 220
Fairfield, CA 94534-1696

Phone

(707) 425-2289

NPI assigned

Jun 6, 2023

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

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1760176309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 BUSINESS CENTER DR STE 220",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341696",
            "telephone_number": "707-425-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 BUSINESS CENTER DR STE 220",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341696",
            "telephone_number": "707-425-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO-GANS",
        "first_name": "MARIA",
        "middle_name": "TERESA",
        "credential": "MSN, PHN, RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95022207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josef Lusung Mendoza
• Maria Mendoza
• Sanjani Mendoza
• Menm, LLC
• Alexander J Menze, MD
• Anne Rochelle Mercado, OTR/L
• Mercados Supply LLC
• Neal Merchant, D.D.S.
• Christina Merlonghi
• Melvin David Merlos

• Gerontology Nurse Practitioner in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.