Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edgar Ivan Mercado, PA-C

Individual provider Physician Assistant · NPI 1194380253

Edgar Ivan Mercado, PA-C is a Physician Assistant in Fresno, California. Qualified in 2019, 7 years ago. Practices with Omni Family Health, a 93-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1350 O St Ste 202
Fresno, CA 93721-1828
Phone: (559) 369-4625
Fax: (559) 369-7259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA57015 (CA)

Record details

NPI number1194380253
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 4, 2019
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Omni Family Health — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Fresno