Individual provider Active NPI

John Estamo Abordo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Merced, CA
National Provider Identifier
1982627675
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4625 Issued in CA
Practice address
857 W Childs Ave
Merced, CA 95341-6862
Phone
(866) 682-4842
Fax
(209) 383-6198
NPI assigned
Jul 25, 2006
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4625 CA Primary

Addresses

Primary practice location

857 W Childs Ave
Merced, CA 95341-6862

Mailing address

737 W Childs Ave
Merced, CA 95341-6805
Phone (209) 383-1848

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061106000231 CA Practitioner - Podiatry 7618974601 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Provident Primary Care IncGroup PAC ID 8628350873, 10 clinicians
Golden Valley Health CentersGroup PAC ID 4183527187, 114 clinicians

Practice addresses (Care Compare)

3349 G St
Suite C
Merced, CA 95340-0978
Phone (209) 580-4638

3940 Sandpiper Ave
Merced, CA 95340-8372
Phone (209) 722-4842

847 W Childs Ave
Merced, CA 95341-6862
Phone (209) 722-4842

857 W Childs Ave
Merced, CA 95341-6862
Phone (209) 722-4842

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue64
Removal of nail tissue180
Removal or shaving of skin growth30
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4625CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Centers CurrentSince Jul 16, 2007 Accepting new patients
Provident Primary Care Inc CurrentSince Dec 17, 2016 Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Centers CurrentSince Jul 16, 2007 Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Golden Valley Health Center Past Accepting new patients
Dignity Health Past Accepting new patients
Jack E Fisher DPM Inc Foot & Ankle Surgery Past Accepting new patients

Locations

3349 G St
Ste C
Merced, CA 95340
Phone (209) 384-4400

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

410 E Yosemite Ave
Ste A
Merced, CA 95340
Phone (209) 384-9108

450 E Yosemite Ave
Ste A
Merced, CA 95340
Phone (209) 723-4885

737 W Childs Ave
Merced, CA 95341
Phone (209) 383-1848

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

857 W Childs Ave
Merced, CA 95341
Phone (209) 384-2706

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: abordo.john.012.0050857@ppc.meditab.direct-ci.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 2

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1982627675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416805",
            "telephone_number": "209-383-1848",
            "fax_number": "209-383-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416862",
            "telephone_number": "866-682-4842",
            "fax_number": "209-383-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABORDO",
        "first_name": "JOHN",
        "middle_name": "ESTAMO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.