Individual provider Active NPI

Bryant Mercado, DPM

  • Podiatrist
  • Newport Beach, CA
National Provider Identifier
1295297778
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E5868 Issued in CA
Practice address
400 Newport Center Dr Ste 706
Newport Beach, CA 92660-7661
Phone
(949) 706-3838
NPI assigned
Apr 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E5868 CA Primary

Addresses

Primary practice location

400 Newport Center Dr Ste 706
Newport Beach, CA 92660-7661

Mailing address

17654 Hummingbird Way
Chino Hills, CA 91709-3262
Phone (909) 569-7052

Other practice location 1

1501 Superior Ave Ste 110
Newport Beach, CA 92663-3606
Phone (949) 631-4099

Other practice location 2

947 S Anaheim Blvd Ste 210
Anaheim, CA 92805-5584
Phone (714) 563-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250407000294 CA Practitioner - Podiatry 8022437920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Foot and Ankle Center IncGroup PAC ID 3274057997, 2 clinicians

Practice addresses (Care Compare)

400 Newport Ctr Dr
Suite 706
Newport Beach, CA 92660-7661
Phone (949) 706-3838

Hospital & facility affiliations

  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue158
Removal of skin lesions1-10
Removal of nail tissue487
Removal or shaving of skin growth466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E5868CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Foot & Ankle Center, Inc Single Specialty CurrentSince Jan 22, 2025 Accepting new patients
Cambridge Foot and Ankle Associates Inc. Single Specialty Past Accepting new patients

Locations

947 S Anaheim Blvd
Ste 210
Anaheim, CA 92805
Phone (714) 491-1159

400 Newport Center Dr
Ste 706
Newport Beach, CA 92660
Phone (949) 640-4440

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4399/brand/8/csg/41/fhir/r4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1295297778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17654 HUMMINGBIRD WAY",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093262",
            "telephone_number": "909-569-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 706",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607661",
            "telephone_number": "949-706-3838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Superior Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926633606",
            "country_code": "US",
            "telephone_number": "949-631-4099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "947 S Anaheim Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928055584",
            "country_code": "US",
            "telephone_number": "714-563-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "BRYANT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.