Healthcare Provider Details

I. General information

NPI: 1730096199
Provider Name (Legal Business Name): BETHANY MERCADO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BETHANY WOOD

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 CLEARVIEW ST
TEHACHAPI CA
93561-2351
US

IV. Provider business mailing address

814 CLEARVIEW ST
TEHACHAPI CA
93561-2351
US

V. Phone/Fax

Practice location:
  • Phone: 661-749-4982
  • Fax:
Mailing address:
  • Phone: 661-749-4982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: