Mindy B Cetel, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G62985 Issued in CA

Practice address

6725 Mesa Ridge Rd
Suite 224
San Diego, CA 92121-2923

Phone

(858) 224-1866

Fax

(858) 224-1867

NPI assigned

Jun 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carolina Neurological Clinic, PA

  • Neurology Physician
  • Charlotte, NC
  • NPI 1902861396
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1003843335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 MESA RIDGE RD",
            "address_2": "SUITE 224",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212923",
            "telephone_number": "858-224-1866",
            "fax_number": "858-224-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 MESA RIDGE RD",
            "address_2": "SUITE 224",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212923",
            "telephone_number": "858-224-1866",
            "fax_number": "858-224-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CETEL",
        "first_name": "MINDY",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G62985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN LOS ANGELES",
            "identifier": "FG622Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP PTAN",
            "identifier": "W14362B",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G629850",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP PTAN",
            "identifier": "W14362",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greg Joseph Cesena, SUDCC
• Jose R. Cesena, MD
• Lynne Cessante, PH.D.
• Anna Cessna
• Chris Cessna, LMFT
• Sophia Ceulemans, M.S
• Damaris Elizabeth Cevallos
• Monica Alexandra Cevallos, LVN
• Debra Cha, PH.D.
• Jennifer Minkyung Cha, LMFT, PSYD STUDENT

• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.