LYDIA HASBROUCK MERTENS MD NPI 1366592172

NPI Information

  • NPI: 1366592172
  • Provider Name: LYDIA HASBROUCK MERTENS, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 6800 PALM AVENUE SUITE C
    SEBASTOPOL, CA
    ZIP 95472
  • Phone: (707) 824-9999

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NPI Details

Lydia Hasbrouck Mertens, MD is a family medicine in Sebastopol, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Lydia Hasbrouck Mertens, MD NPI is 1366592172. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6800 PALM AVENUE SUITE C
SEBASTOPOL, CA
ZIP 95472
Phone: (707) 824-9999

The enumeration date for this NPI number is 1/12/2007 and was last updated on 12/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineG61214CALIFORNIANo
2207Q00000XFamily MedicineG61214CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G612140MEDICAIDCALIFORNIA
2F17063MEDICARE UPIN
300A612140MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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