Jeffry Jacob Mercado, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A178578 Issued in CA

Practice address

6719 Alvarado Rd Ste 308
San Diego, CA 92120-5268

Phone

(619) 265-7912

NPI assigned

May 11, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jeffry Jacob Mercado Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Casey Fisher MD a Professional CorporationGroup PAC ID 6709127640, 2 clinicians

United Medical DoctorsGroup PAC ID 2961305651, 168 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• El Centro Regional Medical Center Hospital, El Centro, CA, CCN 050045

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/BIHIDD/Endpoint/BIHIDD

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.

• Casey Fisher, M.D., a Professional Corporation

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Oceanside, CA
  • NPI 1912402520
  Medicare reassignment Care Compare group NPD
• United Medical Doctors

  • Gastroenterology Physician
  • Murrieta, CA
  • NPI 1770559981
  Medicare reassignment Care Compare group NPD
• La Jolla Spine Institute Medical Group, Inc.

  • Orthopaedic Surgery of the Spine Physician
  • San Diego, CA
  • NPI 1073677811
  Medicare reassignment NPD
• Jeffry Mercado

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Palm Desert, CA
  • NPI 1982598520
  NPD Authorized official
• United Medical Doctors

  • Orthopaedic Surgery Physician
  • San Diego, CA
  • NPI 1194554675
  NPD
• Wellspring CV, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Houston, TX
  • NPI 1801409529
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• El Centro Regional Medical Center

  • General Acute Care Hospital
  • El Centro, CA
  • NPI 1861409823
  Care Compare affiliation

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1669908562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6719 ALVARADO RD STE 308",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205268",
            "telephone_number": "619-265-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 ALVARADO RD STE 308",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205268",
            "telephone_number": "619-265-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "JEFFRY",
        "middle_name": "JACOB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A178578",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4351036470",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFRY",
            "last_name": "MERCADO",
            "middle_name": "JACOB",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aida Josef Mercado-Agustin, RN
• Aurelio Mercado
• Bernadette N Mercado
• Bianca Vanessa Mercado, LM, CPM
• Elizabeth Mercado
• Joana Mercado, MS, RD
• Luciana Mercado
• Maria Mercado
• Micheily Marie Mercado
• Naylea Mercado

• Physical Medicine & Rehabilitation Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.