Bay Area Pediatric Primary Care Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A105688 Issued in CA

Legal business name

BAY AREA PEDIATRIC PRIMARY CARE INC.

Doing business as

Jerry Mercado, MD

Practice address

244 N Jackson Ave Ste 203
San Jose, CA 95116-1604

Phone

(408) 729-0701

Fax

(408) 729-5085

NPI assigned

Jan 9, 2018

Last updated

Jan 9, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jerry Mercado, MDNPI 1023296548

Title

Ceo

Phone

(408) 729-0701

Specialties & licenses 1

Addresses

Other names 1

• Jerry Mercado, MD Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry Mercado, M.D.

  • Pediatrics Physician
  • San Jose, CA
  • NPI 1023296548
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1013424217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 N JACKSON AVE STE 203",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161604",
            "telephone_number": "408-729-0701",
            "fax_number": "408-729-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 N JACKSON AVE STE 203",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161604",
            "telephone_number": "408-729-0701",
            "fax_number": "408-729-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA PEDIATRIC PRIMARY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-729-0701",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A105688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jerry Mercado, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatrics Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.