Mrs Cecilia Cudiamat, PA-C is a medicare enrolled "Physician Assistant - Medical" in East Rancho Dominguez, California. Her current practice location is
711 E Rosecrans Ave, East Rancho Dominguez, California. You can reach out to her office (for appointments etc.) via phone at
(310) 635-5223.
Mrs Cecilia Cudiamat is licensed to practice in California (license number PA16619) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124299623.
Provider's Profile
Full Name | Mrs Cecilia Cudiamat |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 711 E Rosecrans Ave, East Rancho Dominguez, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124299623
- Provider Enumeration Date: 03/12/2008
- Last Update Date: 03/13/2008
Medicare PECOS Information:
- PECOS PAC ID: 4981827193
- Enrollment ID: I20140515001080
Medical Identifiers
Medical identifiers for Mrs Cecilia Cudiamat such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124299623 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA16619 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Cecilia Cudiamat is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Cecilia Cudiamat, PA-C 711 E Rosecrans Ave, East Rancho Dominguez, CA 90221-2143 Ph: (310) 635-5223 | Mrs Cecilia Cudiamat, PA-C 711 E Rosecrans Ave, East Rancho Dominguez, CA 90221-2143 Ph: (310) 635-5223 |
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