Active NPI
Patricia Mercado, DDS
- Dentist
- Perris, CA
National Provider Identifier
1679720965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 57318
- Practice address
- 555 Gloriosa Ave
Perris, CA 92571-7823 - Phone
- (951) 965-7955
- NPI assigned
- Aug 19, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 57318 | CA | Primary |
Addresses
Primary practice location
555 Gloriosa Ave
Perris, CA 92571-7823
Mailing address
555 Gloriosa Ave
Perris, CA 92571-7823
Phone (951) 965-7955
Other names 1
- Patricia Salazar
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 |
|---|---|---|---|
| 57318 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1679720965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 GLORIOSA AVE",
"city": "PERRIS",
"state": "CA",
"postal_code": "925717823",
"telephone_number": "951-965-7955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 GLORIOSA AVE",
"city": "PERRIS",
"state": "CA",
"postal_code": "925717823",
"telephone_number": "951-965-7955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "PATRICIA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "57318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "SALAZAR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Perris, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.