Active NPI
Mercy Diana Valenzuela, CNM
- Advanced Practice Midwife
- Brawley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 235754
- Practice address
- 751 W Legion Rd
Brawley, CA 92227-7732 - Phone
- (209) 956-7725
- NPI assigned
- Oct 1, 2015
- Last updated
- Dec 2, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 235754 | CA | |
| Women's Health Nurse Practitioner | 363LW0102X | NP95003076 | CA | |
| Advanced Practice Midwife | 367A00000X | 235754 | CA | Primary |
Addresses
Primary practice location
751 W Legion Rd
Brawley, CA 92227-7732
Mailing address
PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
207 W Legion Rd
Brawley, CA 92227-7780
Phone (760) 351-3333
750 W Legion Rd
Suite 204
Brawley, CA 92227-7731
751 W Legion Rd
Suite 204
Brawley, CA 92227-7755
Phone (760) 351-2626
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95003076 | CA | MD | Women's Health Nurse Practitioner |
| 235754 | CA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneers Memorial Healthcare District | Current | Accepting new patients | |
| Pathology Associates of Southern California | Current | Accepting new patients |
Locations
751 W Legion Rd
Brawley, CA 92227
Phone (760) 351-0025
751 W Legion Rd
Ste 201
Brawley, CA 92227
Phone (760) 351-0025
207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333
751 W Legion Rd
Ste 204
Brawley, CA 92227
Phone (760) 351-2626
450 E Birch St
Calexico, CA 92231
Phone (760) 768-6262
Dept LA 23624
Pasadena, CA 91185
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/11d6e9da-d3d5-4352-8d64-f06e0d461c57/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Brawley, CA
- NPI 1073519443
-
- Anatomic Pathology & Clinical Pathology Physician
- Burbank, CA
- NPI 1912991597
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Pioneers Memorial Hospital
- General Acute Care Hospital
- Brawley, CA
- NPI 1184429185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1992175004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7096",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952670096",
"telephone_number": "209-956-7725",
"fax_number": "209-956-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 W LEGION RD",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922277732",
"telephone_number": "209-956-7725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENZUELA",
"first_name": "MERCY",
"middle_name": "DIANA",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-01",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "235754",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "NP95003076",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "235754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brawley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.