Erica Mercado, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA63608 Issued in CA

Practice address

1700 Keystone Pacific Pkwy Unit B
Patterson, CA 95363-8874

Phone

(209) 892-9100

Fax

(209) 892-9102

NPI assigned

Jun 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20554/brand/1/csg/1/fhir/r4

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.

• Del Puerto Health Care District

  • Rural Health Clinic/Center
  • Patterson, CA
  • NPI 1063430916
  Medicare reassignment NPD
• Doctors Medical Center of Modesto, Inc.

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1184654923
  NPD (past)

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1902582430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 KEYSTONE PACIFIC PKWY UNIT B",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953638874",
            "telephone_number": "209-892-9100",
            "fax_number": "209-892-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 KEYSTONE PACIFIC PKWY UNIT B",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953638874",
            "telephone_number": "209-892-9100",
            "fax_number": "209-892-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "ERICA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA63608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2446SIV0",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea McCarthy, RN
• Pamela McCullough
• Josephine McKinney
• Medical Transportation of Calif
• Syed Shayan Mehdi
• Melina Tanya Mestas
• Modesto Advanced Diagnostic Imaging Medical Center
• Steven A Moeller
• Kafunga Jeannot Namuhindura
• Brandee Lee Nanney

• Medical Physician Assistant in Patterson, CA
• Providers in Patterson, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.