Blanca Guadalupe Cervantes, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A119138 Issued in CA

Practice address

1800 N Bush St
Suite 104
Santa Ana, CA 92706-2852

Phone

(714) 294-6705

Fax

(714) 884-4149

NPI assigned

May 12, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1003134263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N BUSH ST",
            "address_2": "SUITE 104",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062852",
            "telephone_number": "714-294-6705",
            "fax_number": "714-884-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N BUSH ST",
            "address_2": "SUITE 104",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062852",
            "telephone_number": "714-294-6705",
            "fax_number": "714-884-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "BLANCA",
        "middle_name": "GUADALUPE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A119138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesica Cerda
• Daniel Cernas Lomeli
• Daelyn Corinne Perez Cerruti
• Rogelio Cervantes Herrera
• Alicia Cervantes
• Brandy Ann Cervantes
• Jeannette Cervantes, M.S.W.
• Jennifer Cervantes
• Kristen Cervantes
• Lauren Michelle Cervantes, ACSW

• Psychiatry Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.