| John R Cercado, PA | |
|
1700 Coffee Rd, Modesto, CA 95355-2803 | |
| (209) 526-4500 | |
| Not Available |
| Full Name | John R Cercado |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1700 Coffee Rd, Modesto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497940407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 13918 (California) | Secondary |
| 363A00000X | Physician Assistant | PA16210 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John R Cercado, PA 1700 Coffee Rd, Modesto, CA 95355-2803 Ph: (209) 526-4500 | John R Cercado, PA 1700 Coffee Rd, Modesto, CA 95355-2803 Ph: (209) 526-4500 |
Thaibinh Paul Lai-nguyen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211 | |
Melina Lanzar, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211 | |
Viviana Vera, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1209 Woodrow Ave Ste B10, Modesto, CA 95350 Phone: 209-291-0687 | |
Penny Goumenidis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211 | |
Ingrid Stephanie Medina, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 818-503-1233 | |
Kevin Noel Bixel, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1401 Spanos Ct, Suite 130, Modesto, CA 95355 Phone: 209-550-4779 | |
Shannon Michelle Gillespie, P.A-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Florida Avenue, Modesto, CA 95350 Phone: 209-576-3609 |