Active NPI
Mario Antonio Pacada, DPM
- Podiatrist
- Inglewood, CA
National Provider Identifier
1114982535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E4163
- 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, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4767035 | Medicaid | CA |
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 100
- Quality
- 83.33
- Improvement activities
- 40
- Cost
- 27.17
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 16 |
| Removal of nail tissue | 505 |
| Removal or shaving of skin growth | 345 |
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4163 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New 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 | Past | Accepting new patients | |
| Toetal Health Solutions Ca PC | Past | Accepting new patients | |
| Mario a. Pacada, DPM, Inc | Podiatrist | Past | Accepting new patients |
| The Huntington Medical Foundation | Past | Accepting new patients | |
| Friends & Family Medical Clinic, Inc. | Past | 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.
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- NPI 1922810415
-
- Podiatrist
- Los Angeles, CA
- NPI 1508020322
-
- Nephrology Physician
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- NPI 1134384407
-
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
- NPI 1437303864
-
- Physical Medicine & Rehabilitation Physician
- Long Beach, CA
- NPI 1053347369
-
- Internal Medicine Physician
- Pasadena, CA
- NPI 1639225048
-
- General Practice Physician
- Vista, CA
- NPI 1467328203
-
- Family Medicine Physician
- Nampa, ID
- NPI 1922199694
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.