Provider Demographics
NPI:1447278601
Name:MEROT, TONI DANETTE DELA (NP)
Entity type:Individual
Prefix:MRS
First Name:TONI
Middle Name:DANETTE DELA
Last Name:MEROT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5855 OLIVAS PARK DR
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7672
Mailing Address - Country:US
Mailing Address - Phone:805-667-2801
Mailing Address - Fax:805-667-2865
Practice Address - Street 1:242 E HARVARD BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:SANTA PAULA
Practice Address - State:CA
Practice Address - Zip Code:93060-3372
Practice Address - Country:US
Practice Address - Phone:805-525-9595
Practice Address - Fax:805-525-6667
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA676386 NP16382363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARHM18553HMedicaid
CAZZT40394FMedicaid
CARHM08609FMedicaid
CA95-1683892OtherOTHER INSURANCE
CARHM08608FMedicaid
CARHM08608FMedicaid