Healthcare Provider Details

I. General information

NPI: 1215338488
Provider Name (Legal Business Name): ALEJANDRO ARAIZA BA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2014
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E 15TH ST
MERCED CA
95341-6217
US

IV. Provider business mailing address

300 E 15TH ST
MERCED CA
95341-6217
US

V. Phone/Fax

Practice location:
  • Phone: 209-381-6879
  • Fax: 209-725-3775
Mailing address:
  • Phone: 209-381-6879
  • Fax: 209-725-3775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW138244
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: