Active NPI
Christina Cuaresma Mercado, DPT
- Physical Therapist
- San Dimas, CA
National Provider Identifier
1447569868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT26674
- Practice address
- 924 Malakoff Rd
San Dimas, CA 91773-1553 - Phone
- (323) 491-9702
- NPI assigned
- Oct 4, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT26674 | CA | Primary |
Addresses
Primary practice location
924 Malakoff Rd
San Dimas, CA 91773-1553
Mailing address
924 Malakoff Rd
San Dimas, CA 91773-1553
Phone (323) 491-9702
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26674 | CA | MD | Chiropractor |
| PT26674 | CA | MD | Physical Therapist |
Interoperability endpoints
- christina.mercado.1@17371.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311292800000",
"number": "1447569868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 MALAKOFF RD",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917731553",
"telephone_number": "323-491-9702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 MALAKOFF RD",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917731553",
"telephone_number": "323-491-9702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "CHRISTINA",
"middle_name": "CUARESMA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-04",
"last_updated": "2011-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT26674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Dimas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.