Healthcare Provider Details

I. General information

NPI: 1578619813
Provider Name (Legal Business Name): SUSAN ALZINA MERICA-JONES MSN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5555 GROSSMONT CENTER DR SHARP GROSSMONT HOSPITAL WOMEN'S CENTER PRENATAL CLINIC
LA MESA CA
91942-3019
US

IV. Provider business mailing address

15351 ISLA VISTA RD
JAMUL CA
91935-3400
US

V. Phone/Fax

Practice location:
  • Phone: 619-740-4721
  • Fax: 619-740-4971
Mailing address:
  • Phone: 619-669-3606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number5142
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberNMW 7550
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number336339
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: