Active NPI
Hosea Mercer
- Driver
- Grand Terrace, CA
National Provider Identifier
1639598170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- A4647913
- Practice address
- 22373 Blue Lupine Cir
Grand Terrace, CA 92313-5466 - Phone
- (661) 546-2417
- NPI assigned
- Apr 14, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Driver | 172A00000X | A4647913 | CA | Primary |
Addresses
Primary practice location
22373 Blue Lupine Cir
Grand Terrace, CA 92313-5466
Mailing address
22373 Blue Lupine Cir
Grand Terrace, CA 92313-5466
Phone (661) 546-2417
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 |
|---|---|---|---|
| A4647913 | CA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Medical Transportation Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Land Ambulance
- Bakersfield, CA
- NPI 1326441890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1639598170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22373 BLUE LUPINE CIR",
"city": "GRAND TERRACE",
"state": "CA",
"postal_code": "923135466",
"telephone_number": "661-546-2417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22373 BLUE LUPINE CIR",
"city": "GRAND TERRACE",
"state": "CA",
"postal_code": "923135466",
"telephone_number": "661-546-2417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCER",
"first_name": "HOSEA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-14",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "A4647913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Terrace, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.