Eddie Alejandro Cecilio, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

30913 Issued in CA

Practice address

3461 Rossmoor Way
Los Alamitos, CA 90720-4346

Phone

(562) 594-5904

Fax

(562) 594-4973

NPI assigned

Oct 26, 2015

Last updated

Oct 26, 2015By the provider in NPPES

Sex

Male

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1023480308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 ROSSMOOR WAY",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907204346",
            "telephone_number": "562-594-5904",
            "fax_number": "562-594-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 ROSSMOOR WAY",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907204346",
            "telephone_number": "562-594-5904",
            "fax_number": "562-594-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECILIO",
        "first_name": "EDDIE",
        "middle_name": "ALEJANDRO",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "30913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Michael Castillo
• Michael Paul Castro, RNFA
• Jessica Catania
• Mary C Catone, MFT
• Cecilia Chu, M.D., Inc.
• Jacqueline Celaya, MA, EDS
• Risha Alleyne Rodis Cenidoza
• Center for Discovery & Adolescent Change
• Centers for Family Medicine
• Centers for Family Medicine GP (Optumcare Medical Group)

• Dentist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.