Active NPI
Sandra M Mercado, DPT
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1760153860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 6041 Cadillac Ave
Los Angeles, CA 90034-1702 - Phone
- (833) 574-2273
- NPI assigned
- Sep 28, 2021
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
6041 Cadillac Ave
Los Angeles, CA 90034-1702
Mailing address
276 Hagan PL
Secaucus, NJ 07094-3723
Other practice location 1
1248 S Broadway
Denver, CO 80210-1504
Phone (720) 699-9095
Other practice location 2
1411 S Potomac St Ste 400
Aurora, CO 80012-4540
Phone (303) 695-6060
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1760153860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 HAGAN PL",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070943723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6041 CADILLAC AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900341702",
"telephone_number": "833-574-2273"
}
],
"practiceLocations": [
{
"address_1": "1248 S Broadway",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802101504",
"country_code": "US",
"telephone_number": "720-699-9095",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1411 S Potomac St Ste 400",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800124540",
"country_code": "US",
"telephone_number": "303-695-6060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERCADO",
"first_name": "SANDRA",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-28",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"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 Jan 18, 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.