Mr Neil Jetrho Sobrevinas Mercado, BSN, RN is a
Nurse Anesthetist, Certified Registered based in South Pasadena, California. Mr Neil Jetrho Sobrevinas Mercado is licensed to practice in California (license number 95002685) and his current practice location is
1417 Oneonta Knl, South Pasadena, California. He can be reached at his office (for appointments etc.) via phone at
(650) 863-4586.
NPI number for Mr Neil Jetrho Sobrevinas Mercado is 1942038658 and his current mailing address is 1417 Oneonta Knl, South Pasadena, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942038658.
Provider's Profile
Full Name | Mr Neil Jetrho Sobrevinas Mercado |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 1417 Oneonta Knl, South Pasadena, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942038658
- Provider Enumeration Date: 07/24/2024
- Last Update Date: 09/03/2025
Medical Identifiers
Medical identifiers for Mr Neil Jetrho Sobrevinas Mercado such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942038658 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 95136514 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 95002685 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Neil Jetrho Sobrevinas Mercado is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Neil Jetrho Sobrevinas Mercado, BSN, RN 1417 Oneonta Knl, South Pasadena, CA 91030-4611 Ph: (650) 863-4586 | Mr Neil Jetrho Sobrevinas Mercado, BSN, RN 1417 Oneonta Knl, South Pasadena, CA 91030-4611 Ph: (650) 863-4586 |
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