Active NPI
Kent Mercer
- Athletic Trainer
- Concord, CA
National Provider Identifier
1992241673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 119902166
- Practice address
- 1130 Winton Dr
Concord, CA 94518-3528 - Phone
- (925) 288-8133
- NPI assigned
- Jan 18, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 119902166 | CA | Primary |
Addresses
Primary practice location
1130 Winton Dr
Concord, CA 94518-3528
Mailing address
1130 Winton Dr
Concord, CA 94518-3528
Phone (925) 288-8133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119902166 | CA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1992241673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 WINTON DR",
"city": "CONCORD",
"state": "CA",
"postal_code": "945183528",
"telephone_number": "925-288-8133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 WINTON DR",
"city": "CONCORD",
"state": "CA",
"postal_code": "945183528",
"telephone_number": "925-288-8133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCER",
"first_name": "KENT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-18",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "119902166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.