Jamie Kate Mercader Adoc
Individual provider Active NPI Family Nurse Practitioner · Santa Monica, CA
NPI 1962015941 · NPPES record last updated Feb 6, 2021
Key facts
- NPI
- 1962015941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95015139 (CA)
- Practice address
- 2505 Santa Monica Blvd
Santa Monica, CA 90404-2011 - Phone
- (310) 828-6456
- NPI assigned
- Aug 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210511001876 | CA | Practitioner - Nurse Practitioner | 6800205451 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95015139 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Wound Care Medical Group | Current |
Accepting new patients | |
| Minuteclinic Diagnostic Medical Group of Orange County Inc | Family | Current |
Accepting new patients |
| Minuteclinic Diagnostic Medical Group of San Diego Inc | Family | Current |
Accepting new patients |
| Empire Wound Care | Current |
Accepting new patients | |
| Minuteclinic Diagnostic Medical Group of California Inc | Family | Current |
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) 392-5184
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 (951) 303-3154
2791 Agoura Rd
Westlake Village, CA 91361
Phone 8054954938 ext. 8221
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP95015139 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95015139 | CA | Yes |
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
Other providers in Santa Monica, CA
- Adamson Go, M.D., Inc.
- Samantha Ann Adelman
- Zechariah Remi Adeniji
- Xina Adkins
- Margaret Moscato Adler
- Derrick Adomian
- John G. Adomian
- Advanced Acupuncture, Inc.
- Advanced Solutions Home Health Care
- Advanced Surgical Associates of Santa Monica
All providers in Santa Monica, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.