Individual provider Active NPI

Joel De la Merced, M.D.

  • Pediatrics Physician
  • Chino Hills, CA
National Provider Identifier
1306810031
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A50414 Issued in CA
Practice address
3110 Chino Avenue
Suite 250
Chino Hills, CA 91709-1489
Phone
(909) 902-9998
Fax
(909) 902-0995
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A50414 CA Primary

Addresses

Primary practice location

3110 Chino Avenue
Suite 250
Chino Hills, CA 91709-1489

Mailing address

3110 Chino Avenue
Suite 250
Chino Hills, CA 91709-1489
Phone (909) 902-9998

Other identifiers 1

IdentifierTypeStateIssuer
00A504140MedicaidCA

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
A50414CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Chino Hills Pediatrics Inc. Pediatrics Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306810031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 CHINO AVENUE",
            "address_2": "SUITE 250",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091489",
            "telephone_number": "909-902-9998",
            "fax_number": "909-902-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 CHINO AVENUE",
            "address_2": "SUITE 250",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091489",
            "telephone_number": "909-902-9998",
            "fax_number": "909-902-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA MERCED",
        "first_name": "JOEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A50414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A504140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.