Individual provider Active NPI

Mario Antonio Pacada, DPM

  • Podiatrist
  • Inglewood, CA
National Provider Identifier
1114982535
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4163 Issued in CA
Practice address
501 E Hardy St
Inglewood, CA 90301-4054
Phone
(562) 209-0713
Fax
(562) 684-0289
NPI assigned
Apr 19, 2006
Last updated
Feb 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4163 CA Primary

Addresses

Primary practice location

501 E Hardy St
Inglewood, CA 90301-4054

Mailing address

PO Box 17999
Long Beach, CA 90807-7999
Phone (562) 209-0713

Other identifiers 1

IdentifierTypeStateIssuer
4767035MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Rush Medical College of Rush University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3430 E Flamingo Rd
Suite 104
Las Vegas, NV 89121-5070

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
83.33
Improvement activities
40
Cost
27.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of nail tissue505
Removal or shaving of skin growth345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
E4163CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Anywhere, PC Podiatrist Current Accepting new patients
Rehabilitation Associates PTR Past Accepting new patients
Marjan Chegounchi MD Inc Past Accepting new patients
Oliver Foster DPM a Professional Corp PastSince Mar 8, 2010 Accepting new patients
Toetal Health Solutions Ca PC PastSince Oct 21, 2025 Accepting new patients
Mario a. Pacada, DPM, Inc Podiatrist PastSince Jan 14, 2008 Accepting new patients
The Huntington Medical Foundation Past Accepting new patients
Friends & Family Medical Clinic, Inc. PastSince Aug 21, 2006 Accepting new patients

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1114982535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17999",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908077999",
            "telephone_number": "562-209-0713",
            "fax_number": "562-684-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E HARDY ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014054",
            "telephone_number": "562-209-0713",
            "fax_number": "562-684-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACADA",
        "first_name": "MARIO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4767035",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.