Active NPI
Michael Mercado, OTC
- Orthopedic Assistant
- Whittier, CA
National Provider Identifier
1457725434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Assistant
- License
- 12-0202
- Practice address
- 5833 Rockne Ave
Whittier, CA 90606-1117 - Phone
- (562) 833-6637
- NPI assigned
- Nov 13, 2015
- 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 |
|---|---|---|---|---|
| Orthopedic Assistant | 246ZX2200X | 12-0202 | CA | Primary |
Addresses
Primary practice location
5833 Rockne Ave
Whittier, CA 90606-1117
Mailing address
5833 Rockne Ave
Whittier, CA 90606-1117
Phone (562) 833-6637
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12-0202 | CA | MD | Orthopedic Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1457725434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5833 ROCKNE AVE",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906061117",
"telephone_number": "562-833-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5833 ROCKNE AVE",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906061117",
"telephone_number": "562-833-6637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "OTC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-13",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "246ZX2200X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Orthopedic Assistant",
"state": "CA",
"license": "12-0202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.