Active NPI
Oblaise Mercury
- Plastic Surgery Physician
- San Francisco, CA
National Provider Identifier
1932689155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 6607
- Practice address
- 513 Parnassus Ave # S321
San Francisco, CA 94143-2205 - Phone
- (415) 476-1239
- NPI assigned
- Aug 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 6607 | CA | Primary |
Addresses
Primary practice location
513 Parnassus Ave # S321
San Francisco, CA 94143-2205
Mailing address
513 Parnassus Ave # S321
San Francisco, CA 94143-2205
Phone (415) 476-1239
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231122003330 | CA | Order and Referring Only - Plastic and Reconstructive Surgery | 9133577513 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6607 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633132800000",
"number": "1932689155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 PARNASSUS AVE # S321",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432205",
"telephone_number": "415-476-1239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 PARNASSUS AVE # S321",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432205",
"telephone_number": "415-476-1239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCURY",
"first_name": "OBLAISE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-16",
"last_updated": "2021-10-02",
"certification_date": "2021-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "6607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; 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.