Healthcare Provider Details

I. General information

NPI: 1003763665
Provider Name (Legal Business Name): CHRISTIAN TAPIA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E 13TH ST
MERCED CA
95341-6211
US

IV. Provider business mailing address

7029 TOKAY CIR
WINTON CA
95388-9336
US

V. Phone/Fax

Practice location:
  • Phone: 209-385-7311
  • Fax:
Mailing address:
  • Phone: 209-658-9697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number95379905
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: