Individual provider Active NPI

Eric Sako

  • MOHS-Micrographic Surgery Physician
  • Merced, CA
National Provider Identifier
1982022166
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
A137676 Issued in CA
Practice address
388 E Yosemite Ave Ste 100
Merced, CA 95340-8219
Phone
(209) 722-7801
Fax
(904) 384-3613
NPI assigned
Apr 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X A137676 CA Primary
Dermatology Physician 207N00000X A137676 CA

Addresses

Primary practice location

388 E Yosemite Ave Ste 100
Merced, CA 95340-8219

Mailing address

421 Collins Dr Apt 6
Merced, CA 95348-3170
Phone (562) 400-7577

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
I20191219002321 CA Practitioner - Dermatology 0244563161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Un of California, Irvine, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Dermatology InstituteGroup PAC ID 2062546260, 32 clinicians

Practice addresses (Care Compare)

585 N Mountain Ave
Suite a
Upland, CA 91786-8516
Phone (909) 608-7546

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision19
Removal of skin lesions37
Removal of skin cancer410
Removal or shaving of skin growth1-10
Skin biopsy37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A137676CAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Dermatology Institute Dermatology CurrentSince Mar 1, 2020 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
St Vincents Medical Center Inc Past Accepting new patients
San Gorgonio Memorial Hospital Past Accepting new patients
St. Mary Medical Center Past Accepting new patients

Locations

18523 Corwin Rd
Ste G
Apple Valley, CA 92307
Phone (760) 242-3376

835 Highland Springs Ave
Ste 105
Beaumont, CA 92223
Phone (951) 875-6412

2140 Grand Ave
Ste 260
Chino Hills, CA 91709
Phone (909) 464-9800

770 Magnolia Ave
Ste 1H
Corona, CA 92879
Phone (951) 549-9696

12442 Limonite Ave
Unit 202
Eastvale, CA 91752
Phone (951) 734-6500

16465 Sierra Lakes Pkwy
Ste 275
Fontana, CA 92336
Phone (909) 279-1010

850 E Latham Ave
Ste 201
Hemet, CA 92543
Phone (951) 521-2800

11340 Mountain View Ave
Ste B1
Loma Linda, CA 92354
Phone (909) 796-2705

25405 Hancock Ave
Ste 200
Murrieta, CA 92562
Phone (909) 698-7720

240 Newport Center Dr
Ste 105
Newport Beach, CA 92660
Phone (951) 354-2220

74090 El Paseo
Ste 103
Palm Desert, CA 92260
Phone (760) 341-8244

1801 E Tahquitz Canyon Way
Ste 103
Palm Springs, CA 92262
Phone (760) 537-5561

1481 Ford St
Ste 102
Redlands, CA 92373
Phone (909) 793-2323

255 Terracina Blvd
Ste 205C
Redlands, CA 92373
Phone (909) 793-2323

1200 California St
Ste 210
Redlands, CA 92374
Phone (909) 693-3424

9041 Magnolia Ave
Ste 206
Riverside, CA 92503
Phone (951) 354-0676

1666 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (888) 700-0881

44605 Avenida de Missiones
Ste 202
Temecula, CA 92592
Phone (951) 446-1999

585 N Mountain Ave
Ste A
Upland, CA 91786
Phone (909) 608-7546

12332 Hesperia Rd
Ste 2
Victorville, CA 92395
Phone (442) 232-4750

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1982022166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 COLLINS DR APT 6",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483170",
            "telephone_number": "562-400-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 E YOSEMITE AVE STE 100",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408219",
            "telephone_number": "209-722-7801",
            "fax_number": "904-384-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKO",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-03",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A137676",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A137676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.