Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glorifino Degala Juan

Individual provider Family Nurse Practitioner · NPI 1548997422

Glorifino Degala Juan is a Nurse Practitioner in Merced, California. Qualified in 2021, 5 years ago. Practices with Provident Primary Care Inc, a 10-clinician group and offers telehealth. Licensed in California and Pennsylvania.

Years since qualifying
5
Licensed in
CA, PA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

847 W Childs Ave Ste A
Merced, CA 95341-6862
Phone: (209) 384-6481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP95027233 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP025962 (PA)

Record details

NPI number1548997422
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 2, 2022
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Provident Primary Care Inc — 10 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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