Healthcare Provider Details

I. General information

NPI: 1750214474
Provider Name (Legal Business Name): EMILIO SANCHEZ PARTIDA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

642 W MAIN ST
MERCED CA
95340-4718
US

IV. Provider business mailing address

2952 DILLON LN
MERCED CA
95348-1798
US

V. Phone/Fax

Practice location:
  • Phone: 209-354-7602
  • Fax: 209-354-7602
Mailing address:
  • Phone: 209-354-7602
  • Fax: 209-354-7602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: