Healthcare Provider Details

I. General information

NPI: 1326858812
Provider Name (Legal Business Name): AMAYRANI MERCADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2025
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 HIGHLAND AVE
PIEDMONT CA
94611-4023
US

IV. Provider business mailing address

853 MORRILL ST
HAYWARD CA
94541-1119
US

V. Phone/Fax

Practice location:
  • Phone: 510-594-2847
  • Fax:
Mailing address:
  • Phone: 510-936-4571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: