Individual provider Active NPI

Jamie Kate Mercader Adoc

  • Family Nurse Practitioner
  • Santa Monica, CA
National Provider Identifier
1962015941
Registry record updated Feb 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95015139 Issued in CA
Practice address
2505 Santa Monica Blvd
Santa Monica, CA 90404-2011
Phone
(310) 828-6456
NPI assigned
Aug 28, 2020
Last updated
Feb 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95015139 CA
Family Nurse Practitioner 363LF0000X 95015139 CA Primary

Addresses

Primary practice location

2505 Santa Monica Blvd
Santa Monica, CA 90404-2011

Mailing address

2505 Santa Monica Blvd
Santa Monica, CA 90404-2011
Phone (310) 828-6456

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210511001876 CA Practitioner - Nurse Practitioner 6800205451 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5221 Purdue Ave
Culver City, CA 90230-5349

5901 W Century Blvd
Suite 750
Los Angeles, CA 90045-5443

665 A W 9TH St
San Pedro, CA 90731-3107

665 W 9TH St
Suite a
San Pedro, CA 90731-3107

PO Box
Suite 772
Woonsocket, RI 02895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95015139CAMDFamily Nurse Practitioner
NP95015139CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Feb 8, 2021 Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Family CurrentSince Dec 21, 2021 Accepting new patients
Global Wound Care Medical Group CurrentSince Mar 15, 2023 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince Dec 21, 2021 Accepting new patients
Empire Wound Care CurrentSince Dec 1, 2024 Accepting new patients
Derma Noor, Inc. Past Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

8850 Valley View St
Buena Park, CA 90620
Phone (714) 827-7321

2510 El Camino Real
Carlsbad, CA 92008
Phone (760) 729-8941

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

987 E Hillsdale Blvd
Foster City, CA 94404
Phone (650) 570-4631

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

136 E Walnut Ave
Monrovia, CA 91016
Phone (323) 803-3284

2456 S Grove Ave
Ontario, CA 91761
Phone (909) 947-9390

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

1350 Florin Rd
Sacramento, CA 95822
Phone (916) 392-1004

1651 Response Rd
Ste 350
Sacramento, CA 95815
Phone (818) 450-1188

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

1900 19th Ave
San Francisco, CA 94116
Phone (415) 664-1834

2514 Berryessa Rd
San Jose, CA 95132
Phone (408) 272-1431

2455 San Ramon Valley Blvd
San Ramon, CA 94583
Phone (925) 820-7325

2505 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 828-6456

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

33205 US Highway 79
Temecula, CA 92592
Phone 9513033164 ext. 8221

2791 Agoura Rd
Westlake Village, CA 91361
Phone (805) 495-4938

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612569600000",
    "number": "1962015941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042011",
            "telephone_number": "310-828-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042011",
            "telephone_number": "310-828-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADOC",
        "first_name": "JAMIE KATE",
        "middle_name": "MERCADER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2021-02-06",
        "certification_date": "2021-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95015139",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.