Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mercy Rose Mulder I, PA-C

Individual provider Physician Assistant · NPI 1164432035

Mrs. Mercy Rose Mulder I, PA-C is a Physician Assistant in Chino, California. Qualified in 2004, 22 years ago. Practices with Yolanda T Grady, MD Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

13768 Roswell Ave Ste 202
Chino, CA 91710-1405
Phone: (909) 628-4205
Fax: (909) 628-4875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 17661 (CA)

Record details

NPI number1164432035
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 9, 2006
Last updated in NPPESMarch 6, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Yolanda T Grady, M.D. Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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