Individual provider Active NPI

Mario Kekona Sablan, D.O.

  • Orthopaedic Surgery Physician
  • Merced, CA
National Provider Identifier
1962618462
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
20A11199 Issued in CA
Practice address
330 E Yosemite Ave Ste 101
Merced, CA 95340-9165
Phone
(209) 349-8429
Fax
(209) 720-0193
NPI assigned
May 14, 2007
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 20A11199 CA Primary
Orthopaedic Trauma Physician 207XX0801X 20A11199 CA

Addresses

Primary practice location

330 E Yosemite Ave Ste 101
Merced, CA 95340-9165

Mailing address

330 E Yosemite Ave Ste 101
Merced, CA 95340-9165
Phone (209) 349-8429

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025000655 CA Practitioner - Orthopedic Surgery 0143413971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
College of Osteo Med of the Pacific at Pomona, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

330 E Yosemite Ave
Suite 101
Merced, CA 95340-9165
Phone (209) 349-8429

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.44 of 100Reported as individual
Quality
85.16
Improvement activities
40
Cost
77.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement37
Knee replacement98
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
11199CAMDAcupuncturist
20A11199CAMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthospine Advance Health, Inc Orthopaedic Surgery CurrentSince Dec 14, 2025 Accepting new patients
Sablan Orthopedics, Inc. Orthopaedic Surgery CurrentSince Aug 16, 2010 Accepting new patients
Dignity Health Past Accepting new patients

Locations

123 W North Bear Creek Dr
Merced, CA 95348
Phone (209) 448-3000

330 E Yosemite Ave
Ste 101
Merced, CA 95340
Phone (209) 349-8429

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: msablan@garciadiaz.mdlogic.direct-ci.com
  • Direct secure messaging: msablan@merced.mdlogic.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1962618462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E YOSEMITE AVE STE 101",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953409165",
            "telephone_number": "209-349-8429",
            "fax_number": "209-720-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E YOSEMITE AVE STE 101",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953409165",
            "telephone_number": "209-349-8429",
            "fax_number": "209-720-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABLAN",
        "first_name": "MARIO",
        "middle_name": "KEKONA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A11199",
            "primary": true
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "CA",
            "license": "20A11199",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.