Individual provider Active NPI

Laurence Cecilio, NP

  • Acute Care Nurse Practitioner
  • Fairfield, CA
National Provider Identifier
1023436813
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95011502 Issued in CA
Practice address
1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone
(707) 646-5000
NPI assigned
Mar 31, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95011502 CA Primary

Addresses

Primary practice location

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552

Mailing address

5980 W 71St St Ste 102
Indianapolis, IN 46278-1785
Phone (317) 388-0800

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191017002203 CA Practitioner - Nurse Practitioner 3577894856 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Cep America - Intensivists PCGroup PAC ID 9032423421, 112 clinicians
University Anesthesia Medical GroupGroup PAC ID 2769370535, 402 clinicians
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 887-1230

30 Mark W Springs Rd
Santa Rosa, CA 95403-1436
Phone (707) 576-4000

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95037549CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc CurrentSince Feb 24, 2024 Accepting new patients
Regents Univ of California UCSF CurrentSince Nov 30, 2020 Accepting new patients
Cep America - Intensivists PC Current Accepting new patients
University of California San Francisco CurrentSince May 20, 2021 Accepting new patients
University Anesthesia Medical Group CurrentSince Jan 1, 2026 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
UCSF Dept of Surgery CurrentSince May 20, 2021 Accepting new patients
Regents of the University of California CurrentSince May 20, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 20, 2021 Accepting new patients
Nephrology Associates CurrentSince Jun 1, 2021 Accepting new patients
Anesthesia & Analgesia Medical Group, Inc. CurrentSince Oct 1, 2021 Accepting new patients
University of California San Francisco Current Accepting new patients
Northbay Healthcare Group CurrentSince Jun 3, 2019 Accepting new patients
Northbay Healthcare Group CurrentSince Jun 3, 2019 Accepting new patients
Permanente Medical Group, Inc CurrentSince Feb 24, 2024 Accepting new patients
UCSF Medical Group Business Services Acute Care CurrentSince May 20, 2021 Accepting new patients
University of California San Francisco CurrentSince May 20, 2021 Accepting new patients
UCSF Pediatrics Associates CurrentSince May 20, 2021 Accepting new patients
Cep America - Intensivists PC CurrentSince Oct 1, 2024 Accepting new patients
Cep America - Intensivists PC CurrentSince Oct 1, 2024 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Access Therapies,Inc Past Accepting new patients
Northbay Physicians Surgery Center LLC Past Accepting new patients
Regents of the University of California Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations (25 of 28)

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

400 Parnassus Ave
Fl 5
San Francisco, CA 94143
Phone (415) 353-2626

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

2301 Circadian Way
Ste A
Santa Rosa, CA 95407
Phone (707) 526-2027

30 Mark West Springs Rd
Santa Rosa, CA 95403
Phone (707) 576-4000

2455 Bennett Valley Rd
Ste C219
Santa Rosa, CA 95404
Phone (707) 522-1800

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

Interoperability endpoints

  • Direct secure messaging: lcecilio589520@hisp.ehr.sutterhealth.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lcecilio67893@direct-ucsfmedicalcenter.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/UMZ-Uxn6V9x08sH5gCnG-5yPg9ZX7et6/
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGAJAA

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1023436813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5980 W 71ST ST STE 102",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781785",
            "telephone_number": "317-388-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 B GALE WILSON BLVD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333552",
            "telephone_number": "707-646-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECILIO",
        "first_name": "LAURENCE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95011502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.