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DR. MERCEDES TRAVERSO D.O.
NPI 1063711307
Pediatrics in San Rafael, CA

Active since March 25, 2011PECOS Enrolled
1650 LOS GAMOS DR, SAN RAFAEL, CA 94903(415) 444-4460 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mercedes Traverso D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MERCEDES TRAVERSO D.O. (NPI 1063711307) is an individual pediatrics provider in San Rafael, California, licensed in California (20A11491) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063711307
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MERCEDES TRAVERSOCredential: D.O.
Location Address1650 LOS GAMOS DRSan Rafael, CA 94903-1850
Mailing Address1650 Los Gamos Dr Fl 1San Rafael, CA 94903-1850
Phone(415) 444-4460
Sole ProprietorYes
Enumeration DateMarch 25, 2011
Last NPPES UpdateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1063711307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 20A11491
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1650 LOS GAMOS DR, San Rafael, CA 94903
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mercedes Traverso D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mercedes Traverso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
11 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAITRI MEHTA DO
Family Medicine
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
GEORGIA CROWE
Occupational Therapist
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
JULIA SYLVIE BETCHART DPT
Physical Therapist
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
DAVID RHYOO PHARMD
Pharmacist
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
SIMON CARNE DPT
Physical Therapist
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (240) 595-0449
JASMINE DHALIWAL MD
Family Medicine
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
VINCE ANGELO ANGALOT ASUNCION
Physical Therapist
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-2962
DR. ARASH SALARI DO
Family Medicine
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-2330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mercedes Traverso's NPI number?

The NPI number for Mercedes Traverso is 1063711307. It was assigned to this individual provider in the NPPES registry on March 25, 2011.

Where is Mercedes Traverso located?

Mercedes Traverso practices at 1650 Los Gamos Dr, San Rafael, CA 94903. The listed phone number is (415) 444-4460.

What is Mercedes Traverso's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mercedes Traverso enrolled in Medicare?

Yes. Mercedes Traverso is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mercedes Traverso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mercedes Traverso reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mercedes Traverso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mercedes Traverso was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.