Healthcare Provider Details

I. General information

NPI: 1407784069
Provider Name (Legal Business Name): ABEGAIL MERCADO ASINO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2633 E 27TH ST
OAKLAND CA
94601-1912
US

IV. Provider business mailing address

24708 SAGEBRUSH CT
HAYWARD CA
94545-2139
US

V. Phone/Fax

Practice location:
  • Phone: 510-536-8111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95377981
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: