Mercy Medical Center Merced

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A116159 Issued in CA

Legal business name

MERCY MEDICAL CENTER MERCED

Practice address

4123 Tudal CT
Merced, CA 95348-8425

Phone

(209) 722-8847

NPI assigned

Mar 11, 2011

Organization subpart

No

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

Authorized official

Name

John Paik-Tesch, M.D

Title

Program Director

Phone

(209) 564-3513

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1851699052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 TUDAL CT",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953488425",
            "telephone_number": "209-722-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 TUDAL CT",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953488425",
            "telephone_number": "209-722-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL CENTER MERCED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "PAIK-TESCH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "209-564-3513",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "CA",
            "license": "A116159",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A116159",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A116159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merced Turlock Nephrology Med Group Inc.
• Merced Urology Medical Group, Inc.
• Merced VC
• 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
• MG Bachour DDS Inc

• 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 Mar 11, 2011; 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.