Active NPI
Les Allen Mershon, PA-C
- Medical Physician Assistant
- La Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 4845
- Practice address
- 6136 Lake Murray Blvd
La Mesa, CA 91942-2502 - Phone
- (619) 303-5500
- NPI assigned
- Apr 28, 2011
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 4845 | AZ | Primary |
Addresses
Primary practice location
6136 Lake Murray Blvd
La Mesa, CA 91942-2502
Mailing address
6136 Lake Murray Blvd
La Mesa, CA 91942-2502
Phone (619) 303-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2035 Mesquite Ave
Suite a
Lake Havasu City, AZ 86403-5894
Phone (928) 846-4343
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.62 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 75.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4845 | AZ | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marque Medical Clinic, Inc | Current | Accepting new patients | |
| Nextcare Arizona I JV LLC | Current | Accepting new patients | |
| Burt Faibisoff, MD, PLLC | Past | Accepting new patients |
Locations
2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172
450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574
1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844
1810 Mesquite Ave
Ste B
Lk Havasu Cty, AZ 86403
Phone (928) 453-4600
914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620
9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666
1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055
2075 San Joaquin Hills Rd
Newport Beach, CA 92660
Phone (877) 693-6266
4490 Fanuel St
Ste 100
San Diego, CA 92109
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Lake Havasu City, AZ
- NPI 1063051936
-
- Urgent Care Clinic/Center
- Newport Beach, CA
- NPI 1538466107
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1043371826
-
- Urgent Care Clinic/Center
- Chula Vista, CA
- NPI 1164303442
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
- Plastic Surgery Physician
- Lake Havasu City, AZ
- NPI 1336396761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1265723985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6136 LAKE MURRAY BLVD",
"city": "LA MESA",
"state": "CA",
"postal_code": "919422502",
"telephone_number": "619-303-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6136 LAKE MURRAY BLVD",
"city": "LA MESA",
"state": "CA",
"postal_code": "919422502",
"telephone_number": "619-303-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERSHON",
"first_name": "LES",
"middle_name": "ALLEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-28",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "4845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.