Individual provider Active NPI

Ma Cristina Mariano Mercado, M.D.

  • Pediatrics Physician
  • Salinas, CA
National Provider Identifier
1124272000
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A106427 Issued in CA
Practice address
505 E Romie LN Ste K
Salinas, CA 93901-4031
Phone
(831) 422-9066
Fax
(831) 422-4312
NPI assigned
Nov 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA08327500 NJ
Pediatrics Physician 208000000X 251118 NY
Pediatrics Physician 208000000X A106427 CA Primary

Addresses

Primary practice location

505 E Romie LN Ste K
Salinas, CA 93901-4031

Mailing address

123 Tomahawk CT
Belle Mead, NJ 08502-4105
Phone (908) 359-7762

Other names 1

  • Dr. Ma Cristina Tomas Mariano Former name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A106427CAMDPediatrics Physician
25MA08327500NJMDPediatrics Physician
251118NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salinas Valley Memorial Healthcare System Past Accepting new patients
Salinas Pediatric Medical Group Inc Pediatrics Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1124272000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 TOMAHAWK CT",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085024105",
            "telephone_number": "908-359-7762",
            "fax_number": "908-837-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E ROMIE LN STE K",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014031",
            "telephone_number": "831-422-9066",
            "fax_number": "831-422-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "MA CRISTINA",
        "middle_name": "MARIANO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08327500",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "251118",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A106427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MA CRISTINA",
            "last_name": "MARIANO",
            "middle_name": "TOMAS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.