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Holly Mercado

Community Health Worker in Pleasanton, CA. Individual provider (NPI-1).

NPI number1104175041
StatusActive
Last updated in NPPESSep 6, 2012

Details

NPI
1104175041
Entity type
Individual (NPI-1)
Name
Holly Mercado
Sex
Female
Sole proprietor
No
Enumeration date
Sep 6, 2012
Last updated
Sep 6, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

5674 Stoneridge Drive
Suite 207
Pleasanton, CA 94588

Phone 925-520-0005 · Fax 925-520-0010

Mailing address

5674 Stoneridge Drive
Suite 207
Pleasanton, CA 94588

Phone 925-520-0005 · Fax 925-520-0010

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community Health Worker providers in Pleasanton, CA

All 12 Community Health Worker providers in Pleasanton · All 2,763 providers in Pleasanton

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