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1020 W Main St Merced CA 95340-4521 | |
| (925) 570-3282 | |
| (925) 800-3102 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1020 W Main St, Merced, California |
| Authorized Official Name and Position | Jagdeep Kaur (MD) |
| Authorized Official Contact | 9255703282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
3123 Independence Dr Livermore CA 94551-7595 Ph: (925) 570-3282 | 1020 W Main St Merced CA 95340-4521 Ph: (925) 570-3282 |
| NPI Number | 1477150787 |
|---|---|
| Provider Enumeration Date | 10/08/2020 |
| Last Update Date | 10/04/2024 |
| Certification Date | 10/04/2024 |
| Medicare PECOS PAC ID | 1254873524 |
|---|---|
| Medicare Enrollment ID | O20240603002624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477150787 | NPI | - | NPPES |
| C2630352 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Keturah Ann Hood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629241138 PECOS PAC ID: 4486998218 Enrollment ID: I20181205003499 |
| Provider Name | Leslie A Langley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255779120 PECOS PAC ID: 9638487952 Enrollment ID: I20201005002033 |
| Provider Name | Jagdeep Kaur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467682260 PECOS PAC ID: 2264672138 Enrollment ID: I20210426002168 |
| Provider Name | Amandeep Kaur |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073041927 PECOS PAC ID: 4880139674 Enrollment ID: I20240717000510 |
Life Center Of America Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1057 N St, Merced, CA 95341 Phone: 209-384-9547 | |
Marie Green Psychiatric Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 452 Hydrangea Ct, Merced, CA 95341 Phone: 209-777-2233 | |
The Bridge, J. Stanley Bunce, Ph.d., & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 Park Avenue, Merced, CA 95348 Phone: 209-384-0414 Fax: 209-384-1562 | |