| Mark Jason Granada, AGNP | |
|
857 W Childs Ave, Merced, CA 95341-6862 | |
| (209) 722-4842 | |
| Not Available |
| Full Name | Mark Jason Granada |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 857 W Childs Ave, Merced, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386353761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95024681 (California) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 95024681 (California) | Primary |
| Entity Name | Golden Valley Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356445753 PECOS PAC ID: 4183527187 Enrollment ID: O20040128000641 |
| Entity Name | Cares Community Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447297379 PECOS PAC ID: 2769418151 Enrollment ID: O20050718000377 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Jason Granada, AGNP 1910 Customer Care Way, Atwater, CA 95301-5167 Ph: (209) 722-4842 | Mark Jason Granada, AGNP 857 W Childs Ave, Merced, CA 95341-6862 Ph: (209) 722-4842 |
Mrs. Rubirosa Cervantes Arandia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3389 G St, Merced, CA 95340 Phone: 209-384-9401 | |
Raj Kumar Sharma, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 360 E Yosemite Ave Ste 200, Merced, CA 95340 Phone: 209-354-4675 Fax: 209-354-4681 | |
Mary Alice Hintenach, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 E 13th St, Merced, CA 95340 Phone: 209-385-7060 Fax: 209-385-7017 | |
Mrs. Amanda Eliza Gibson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 E 13th St, Merced, CA 95341 Phone: 209-564-4500 | |
Ms. Gina Leisha Broussard, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3349 G St Ste F, Merced, CA 95340 Phone: 209-349-8459 Fax: 209-580-4671 | |
Deirdre Alice Mazzetto, NP, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 E 13th St, Merced, CA 95341 Phone: 209-723-2122 | |
Miss Rashilda Ayanna Storm, MSN, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 857 W Childs Ave, Geriatrics, Merced, CA 95341 Phone: 209-385-5600 Fax: 209-385-5674 |