Active NPI
Cristian Daniel Mercado, RD,MSM
- Registered Dietitian
- Baldwin Park, CA
National Provider Identifier
1033894555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86150290
- Practice address
- 4059 Stewart Ave
Baldwin Park, CA 91706-3118 - Phone
- (626) 277-7924
- NPI assigned
- Jun 21, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86150290 | CA | Primary |
Addresses
Primary practice location
4059 Stewart Ave
Baldwin Park, CA 91706-3118
Mailing address
4059 Stewart Ave
Baldwin Park, CA 91706-3118
Phone (626) 277-7924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86150290 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1033894555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4059 STEWART AVE",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917063118",
"telephone_number": "626-277-7924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4059 STEWART AVE",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917063118",
"telephone_number": "626-277-7924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "CRISTIAN",
"middle_name": "DANIEL",
"credential": "RD,MSM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-21",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86150290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baldwin Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.