John R Cercado in Modesto - Physician Assistant
John R Cercado - NPI 1497940407
John R Cercado is a Physician Assistant in Modesto, California. John R Cercado practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for John R Cercado is 1497940407. The last update date is 2019-11-08.
John R Cercado's current location address is 1700 Coffee Rd, Modesto, California. You can contact this provider via phone number 2095264500. The mailing address for John R Cercado is 1700 Coffee Rd, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John R Cercado |
|---|---|
| Address | 1700 Coffee Rd, Modesto, California |
| Phone Number | 2095264500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1497940407 |
|---|---|
| Provider Enumeration Date | 2007-09-12 |
| Last Updated Date | 2019-11-08 |
Provider Mailing Address Detail
| Address | 1700 Coffee Rd |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953552803 |
| Phone Number | 2095264500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA16210 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to John R Cercado by the Centers for Medicare & Medicaid Services?
The John R Cercado has been issued the NPI (National Provider Identifier) 1497940407, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of John R Cercado?
The John R Cercado is situated at 1700 Coffee Rd, in the city of Modesto, state of CA, with the zip code 953552803.
What is John R Cercado's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John R Cercado's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1497940407 to John R Cercado?
The Centers for Medicare & Medicaid Services assigned the 1497940407 to John R Cercado on 2007-09-12.
When was the information regarding John R Cercado, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John R Cercado, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-11-08.