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MERCADO MEDICAL GROUP INC. NPI 1235439324


NPI Information

NPI: 1235439324
Provider Name: MERCADO MEDICAL GROUP, INC.
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D2013608

Address:
1813 PROFESSIONAL DR
SACRAMENTO, CA
ZIP 95825
Phone: (916) 550-2488
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MERCADO MEDICAL GROUP, INC. is a general practice in Sacramento, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MERCADO MEDICAL GROUP, INC. NPI is 1235439324. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1813 PROFESSIONAL DR
SACRAMENTO, CA
ZIP 95825-162
Phone: (916) 550-2488
Fax: (916) 550-2925

The provider's authorized official is Alejandro Mercado .
The authorized official title is President / Physician and has the following contact phone number (916) 550-2488.

The CLIA number assigned to this NPI record is 05D2013608 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2010 and was last updated on 2/3/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeA 56343CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11700837689OTHERCALIFORNIANPI
21376601286OTHERCALIFORNIANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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