Healthcare Provider Details

I. General information

NPI: 1407764996
Provider Name (Legal Business Name): ALBERTO NAVA YANEZ FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3166 COLLINS DR
MERCED CA
95348-3132
US

IV. Provider business mailing address

PO BOX 559
PLANADA CA
95365-0559
US

V. Phone/Fax

Practice location:
  • Phone: 209-723-7751
  • Fax:
Mailing address:
  • Phone: 650-248-3528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95041096
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: