Gerardo Mercado, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

59598 Issued in CA

Practice address

10814 Old River School Rd
Downey, CA 90241-3247

Phone

(562) 806-5240

NPI assigned

Aug 6, 2010

Last updated

Aug 6, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1366757999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10814 OLD RIVER SCHOOL RD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413247",
            "telephone_number": "562-806-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10814 OLD RIVER SCHOOL RD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413247",
            "telephone_number": "562-806-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "GERARDO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valarie Celeste Mendoza
• Ketsy Menendez
• Bubbles Armas Meneses, NP
• Mental Health Convalescent Services, Inc. (Lakewood Park Health Center)
• Stephany Esmeralda Meono
• Justin Martin Mercado
• Melony Mercado, REGISTERED NURSE
• Mercy Ambulance Service, Inc
• Milagros Shirley Mere, RD
• Hailey Sky Merin

• Dentist in Downey, CA
• Providers in Downey, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.