Active NPI
Elena Mercado
- Licensed Vocational Nurse
- Moreno Valley, CA
National Provider Identifier
1932735628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 701625
- Practice address
- 11796 Rockingham St
Moreno Valley, CA 92557-6602 - Phone
- (909) 749-3169
- NPI assigned
- Mar 13, 2020
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 701625 | CA | Primary |
Addresses
Primary practice location
11796 Rockingham St
Moreno Valley, CA 92557-6602
Mailing address
11796 Rockingham St
Moreno Valley, CA 92557-6602
Phone (909) 749-3169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 701625 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1932735628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11796 ROCKINGHAM ST",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925576602",
"telephone_number": "909-749-3169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11796 ROCKINGHAM ST",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925576602",
"telephone_number": "909-749-3169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "ELENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-13",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "701625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.