MEDICARE: COUNTY OF MERCED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275654543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF MERCED

Provider Business Mailing Address
First Line	:	PO BOX 2087
Second Line	:
City	:	MERCED
State	:	CA
Zip	:	95344-0087
Country	:	US
Telephone Number	:	209-381-6800
Fax Number	:

Provider Business Practice Location Address
First Line	:	4225 HOSPITAL RD
Second Line	:
City	:	ATWATER
State	:	CA
Zip	:	95301-5142
Country	:	US
Telephone Number	:	209-381-6800
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	KIMIKO M VANG
Credential	:	DSW, LCSW
Telephone Number	:	209-381-6805

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	05/21/2026

Similar Medicare Providers

1518088970 — COUNTY OF MERCED
Practice Location Address:

4225 HOSPITAL RD
ATWATER, CA
95301-5142

Practice Phone: 209-381-6800
Practice Fax: 209-724-4046

1417880287 — FELIPE PRADENA
Practice Location Address:

1020 E BELLEVUE RD
ATWATER, CA
95301-2397

Practice Phone: 209-357-6140
Practice Fax: 209-357-6141

1972436558 — ROBERT PARHAM
Practice Location Address:

584 E BELLEVUE RD
ATWATER, CA
95301-2300

Practice Phone: 559-747-2177
Practice Fax:

1871426379 — IVONNE ROCIO URRA-PAREDES
Practice Location Address:

1491 GROVE AVE
ATWATER, CA
95301-3531

Practice Phone: 209-357-9894
Practice Fax:

1598698094 — IGNACIA PATRICIA DIAZ RIVAS
Practice Location Address:

1491 GROVE AVE
ATWATER, CA
95301-3531

Practice Phone: 209-357-9894
Practice Fax:

1235062514 — AMARU ANDREA ALVAREZ FUENTES
Practice Location Address:

1491 GROVE AVE
ATWATER, CA
95301-3531

Practice Phone: 209-357-9894
Practice Fax:

Directions to “COUNTY OF MERCED ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.