BOBBY SHAN (NPI# 1609439470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609439470 |
| Entity Type | Individual |
| Full Name | BOBBY SHAN |
| Credential | DO |
| Practice Address |
Mercy Medical Center Merced 315 Mercy Avenue, Ste. 301 Merced CA 95340 |
| Practice Telephone | 2095643500 |
| Practice Fax Number | 2095643598 |
| Mailing Telephone | 2095643500 |
| Mailing Fax Number | 2095643598 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
MERCY MEDICAL CENTER MERCED 315 MERCY AVENUE, STE. 301 |
| City | MERCED |
| State | CA |
| Zip Code | 95340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063045706 | Pharmedquest Pharmacy Services | Pharmacy | 3940 Sandpiper Avenue, Pharmacy 181, Merced, CA 95340 | 2020-02-21 |
| 1548809668 | Michelle Melara | Behavior Technician | 3313 G Street, Suite B, Merced, CA 95340 | 2020-01-06 |
| 1417593070 | Emilio Jose Guzman | Behavior Technician | Autism Learning Partners 3313 G. Street, Suite B, Merced, CA 95340 | 2019-11-19 |
| 1477106383 | Anita Leigh Johnson | Nurse Practitioner | 3349 G Street, Suite C Bldg. K, El Portal Plaza, Merced, CA 95340 | 2019-07-19 |
| 1508333253 | Golden Valley Health Center | Clinic/Center | 3940 Sandpiper Ave., Merced, CA 95340 | 2018-10-31 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1841702271 | Tou Chang | Pharmacist | 3350 G Street, Merced, CA 95340 | 2017-10-25 |
| 1154842466 | Miller and Skinner Dental Corporation | Dentist | 560 W. 26th St., Merced, CA 95340 | 2017-06-28 |
| 1053859314 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2025 E. Santa Fe Dr., Merced, CA 95340 | 2017-02-07 |
| 1396282059 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 573 E. N. Bear Creek Drive, Merced, CA 95340 | 2017-01-19 |
| Find all providers in zip 95340 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
| 1073863452 | Lynett Maria Sterling | Student in an Organized Health Care Education/Training Program | 855 W 18th St, Merced, CA 95340-4604 | 2012-09-13 |
| 1083243554 | Ha Thi Bui | Student in an Organized Health Care Education/Training Program | 315 E 13th St, Merced, CA 95341-6211 | 2020-04-06 |
| 1336778844 | Chayce William Hartung | Student in an Organized Health Care Education/Training Program | 315 E 13th St, Merced, CA 95341-6211 | 2020-04-06 |
| 1265061774 | Carmin Jia Min Liang | Student in an Organized Health Care Education/Training Program | 315 E 13th St, Merced, CA 95341-6211 | 2020-04-06 |
| 1578192043 | Simrit Singh Dyal | Student in an Organized Health Care Education/Training Program | 315 E 13th St, Merced, CA 95341-6211 | 2020-04-06 |
| 1043849565 | Sonia Amy Neave | Student in an Organized Health Care Education/Training Program | 315 E 13th St, Merced, CA 95341-6211 | 2020-04-06 |
| 1659900298 | Karthika Vempati | Student in an Organized Health Care Education/Training Program | 315 E 13th St, Merced, CA 95341-6211 | 2020-04-06 |
| 1003445677 | Gessie Wompleh Lurlay | Student in an Organized Health Care Education/Training Program | 315 E 13th St, Merced, CA 95341-6211 | 2020-04-06 |
| 1801425467 | Anthony Zarate Noces | Student in an Organized Health Care Education/Training Program | 315 E 13th St, Merced, CA 95341-6211 | 2020-04-06 |
| Find all providers in MERCED | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.