John Estamo Abordo, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Merced, CA
NPI 1982627675 · NPPES record last updated Oct 21, 2021
Key facts
- NPI
- 1982627675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- E4625 (CA)
- Practice address
- 857 W Childs Ave
Merced, CA 95341-6862 - Phone
- (866) 682-4842
- Fax
- (209) 383-6198
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2003
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Provident Primary Care Inc
Golden Valley Health Centers
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
- Compassionate Care Home Health Agency, LLC
- Mercy Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 64 |
| Removal of nail tissue | 180 |
| Removal or shaving of skin growth | 30 |
| Skin biopsy | 1-10 |
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: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061106000231 | CA | Practitioner - Podiatry | 7618974601 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4625 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 4625 | CA | MD | Occupational Therapy Assistant |
Practice roles (19 of 20)
| Organization | Specialty | Status | 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 Centers | Current | Accepting new patients | |
| Provident Primary Care Inc | 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 Centers | 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 | |
| Dignity Health | Past | Accepting new patients | |
| Golden Valley Health Center | Past | Accepting new patients | |
| Jack E Fisher DPM Inc | Foot & Ankle Surgery | Past | Accepting new patients |
| Doctors Medical Center of Modesto, Inc. | Past | Accepting new patients |
Locations
737 W Childs Ave
Merced, CA 95341
Phone (209) 383-1848
3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104
847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441
857 W Childs Ave
Merced, CA 95341
Phone (209) 384-2706
450 E Yosemite Ave
Ste A
Merced, CA 95340
Phone (209) 723-4885
410 E Yosemite Ave
Ste A
Merced, CA 95340
Phone (209) 384-9108
3349 G St
Ste C
Merced, CA 95340
Phone (209) 384-4400
2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- abordo.john.012.0050857@ppc.meditab.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4625 | CA | Yes |
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
Other providers in Merced, CA
- Kendra Lee Abarca
- Shabana Abdullah Abdulqadir
- Fatima Latifah Abdulzahir
- Mary Grace Antonette Lavina Abear
- Hira Zainul Abideen
- Roy James Abril
- Accesscare Home of Merced
- Ace Overcomers of Merced County
- Cristina Acevedo
- Kevin Acosta-Rosas
All providers in Merced, CA · Foot & Ankle Surgery Podiatrist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 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.