Hector S Cerezo MD Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

A37502 Issued in CA

Legal business name

HECTOR S CEREZO MD INC

Practice address

125 N Jackson Ave
Suite 110
San Jose, CA 95116-1903

Phone

(408) 926-8111

Fax

(408) 926-8943

NPI assigned

Mar 21, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Hector D Cerezo Jr.

Title

Billing & Operations Manager

Phone

(408) 926-8111

Specialties & licenses 1

Addresses

Other names 1

• DR HECTOR S CEREZOMD INC Other name

Locations

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1013282102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N JACKSON AVE",
            "address_2": "SUITE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161903",
            "telephone_number": "408-926-8111",
            "fax_number": "408-926-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N JACKSON AVE",
            "address_2": "SUITE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161903",
            "telephone_number": "408-926-8111",
            "fax_number": "408-926-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HECTOR S CEREZO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "CEREZO",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BILLING & OPERATIONS MANAGER",
        "authorized_official_telephone_number": "408-926-8111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "A37502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR HECTOR S CEREZOMD INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in San Jose, CA
• Providers in San Jose, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.