John R Cercado in Modesto - Nurse Practitioner
John R Cercado - NPI 1497940407
John R Cercado is a Nurse Practitioner in Modesto, California. John R Cercado practices all healthcare services and medical treatments related to Nurse Practitioner. 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 | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 13918 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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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 Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
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.