Mercado Medical Group, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A 56343 Issued in CA

Legal business name

MERCADO MEDICAL GROUP, INC.

Practice address

1813 Professional Dr
Sacramento, CA 95825-2162

Phone

(916) 550-2488

Fax

(916) 550-2925

NPI assigned

Oct 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Alejandro Mercado, M.D.NPI 1700837689

Title

President / Physician

Phone

(916) 550-2488

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Alejandro Mercado, MD

  • General Practice Physician
  • Sacramento, CA
  • NPI 1700837689
  NPD (past) Authorized official
• Olga M. Mercado, PA

  • Physician Assistant
  • Sacramento, CA
  • NPI 1376601286
  NPD (past)

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

{
    "created_epoch": "1287878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1235439324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 PROFESSIONAL DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252162",
            "telephone_number": "916-550-2488",
            "fax_number": "916-550-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 PROFESSIONAL DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252162",
            "telephone_number": "916-550-2488",
            "fax_number": "916-550-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCADO MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-24",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "PRESIDENT / PHYSICIAN",
        "authorized_official_telephone_number": "916-550-2488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A 56343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1376601286",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1700837689",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Meraz Masten, LCSW
• Osmara Denisse Meraz-Mulron
• Alyssa Meraz
• Jackie Marie Meraz
• Kayla Mercado - Mitchell
• Alejandro Mercado, MD
• Alex Mercado
• Amanda Mercado
• Angelica Mercado, SUDRC
• Caprice Kiara Mercado

• General Practice Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.