MERCY SEAT MENTAL HEALTH TREATMENT CENTER LLC
NPI 1043920119
Nurse Practitioner - Psychiatric/Mental Health in Norco, CA

Q: What is Mercy Seat Mental Health Treatment Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since November 30, 2022

1640 2ND ST STE 105, NORCO, CA 92860(424) 221-0834(951) 407-1042 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 30, 2024, Nov 30, 2022 (2 updates tracked since 2022).

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About Mercy Seat Mental Health Treatment Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERCY SEAT MENTAL HEALTH TREATMENT CENTER LLC (NPI 1043920119) is a healthcare organization registered as a psychiatric/mental health in Norco, California and active in the NPI registry since November 2022. The organization lists Stella Alah-tih Fongod, Owner Of The Entity, as its authorized official.

NPPES Registry Identity

NPI1043920119

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMERCY SEAT MENTAL HEALTH TREATMENT CENTER LLC

Location Address1640 2ND ST STE 105Norco, CA 92860-2983

Mailing Address1640 2nd StNorco, CA 92860-2969 · (424) 221-0834

Phone(424) 221-0834

Fax(951) 407-1042

Organization SubpartNo

Authorized OfficialStella Alah-tih FongodOwner Of The Entity · (424) 221-0834

Enumeration DateNovember 30, 2022

Last NPPES UpdateApril 30, 20242 updates tracked since enumeration

NPPES CertifiedApril 30, 2024

✔ NPI 1043920119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

1640 2ND ST STE 105, Norco, CA 92860

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mercy Seat Mental Health Treatment Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mercy Seat Mental Health Treatment Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stella Tih, NP

Nurse Practitioner

NPI 1992347629

5838 EDISON PL STE 100
Carlsbad, CA 92008

(718) 854-8370

✔ PECOS57 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mercy Seat Mental Health Treatment Center LLC's NPI number?

The NPI number for Mercy Seat Mental Health Treatment Center LLC is 1043920119. It was assigned to this organization in the NPPES registry on November 30, 2022.

Where is Mercy Seat Mental Health Treatment Center LLC located?

Mercy Seat Mental Health Treatment Center LLC is located at 1640 2nd St Ste 105, Norco, CA 92860. The listed phone number is (424) 221-0834.

What is Mercy Seat Mental Health Treatment Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mercy Seat Mental Health Treatment Center LLC enrolled in Medicare?

Yes. Mercy Seat Mental Health Treatment Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mercy Seat Mental Health Treatment Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mercy Seat Mental Health Treatment Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mercy Seat Mental Health Treatment Center LLC was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.