Active NPI
Bryant Mercado, DPM
- Podiatrist
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E5868
- 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
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 | 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
Enrollment records 1
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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 158 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 487 |
| Removal or shaving of skin growth | 466 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5868 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newport Foot & Ankle Center, Inc | Single Specialty | Current | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Newport Beach, CA
- NPI 1548552441
Single Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
-
- General Acute Care Hospital
- Orange, CA
- NPI 1558575746
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.