Fernando Esau Mercado-Garcia, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

101290 Issued in CA

Practice address

25953 Campo CV
Loma Linda, CA 92354-6531

Phone

(909) 360-9076

NPI assigned

Jun 17, 2016

Last updated

Mar 16, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bischoff Dentistry

  • Dentist
  • Loves Park, IL
  • NPI 1144670563
  NPD (past)
• Bischoff Dentistry, LTD

  • General Practice Dentistry
  • Loves Park, IL
  • NPI 1407190150
  NPD (past)

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1396195624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25953 CAMPO CV",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546531",
            "telephone_number": "909-360-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25953 CAMPO CV",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546531",
            "telephone_number": "909-360-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO-GARCIA",
        "first_name": "FERNANDO",
        "middle_name": "ESAU",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-17",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030619",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Lyn Banzon Mendoza, PHARMD
• Mary Jane Soller Mendoza, MSN-ED, RN
• Roy Alexander Mendoza, MD
• Samantha Mendoza, RD
• Sreyas Kumar Menon, MD
• Kristina Mercado
• Ysis Adriana Mercado
• Jennifer Emily Merrill, MD
• Ian Benjamin Mertes, AU.D., PH.D.
• Devin Grant Mesa

• Dentist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.