NPIMap

Organization Active NPI

Mario a. Pacada, DPM, Inc

  • Podiatrist
  • Los Angeles, CA
National Provider Identifier
1508020322
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4163 Issued in CA
Legal business name
MARIO A. PACADA, DPM, INC
Practice address
3756 Santa Rosalia Dr Ste 302
Los Angeles, CA 90008-3615
Phone
(562) 208-0713
Fax
(562) 684-0289
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Mario Antonyo Pacada, DPMNPI 1114982535
Title
President
Phone
(562) 209-0713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E4163 CA Primary

Addresses

Primary practice location

3756 Santa Rosalia Dr Ste 302
Los Angeles, CA 90008-3615

Mailing address

3756 Santa Rosalia Dr Ste 302
Los Angeles, CA 90008-3615
Phone (562) 208-0713

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1508020322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3756 SANTA ROSALIA DR STE 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083615",
            "telephone_number": "562-208-0713",
            "fax_number": "562-684-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3756 SANTA ROSALIA DR STE 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083615",
            "telephone_number": "562-208-0713",
            "fax_number": "562-684-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO A. PACADA, DPM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "PACADA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "ANTONYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-209-0713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.