Active NPI
Michaela Marie Cerrato, PA-C
- Physician Assistant
- Redwood City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 57850
- Practice address
- 450 Broadway St # D
Redwood City, CA 94063-3132 - Phone
- (650) 736-5555
- NPI assigned
- Jul 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C06533 | MD | |
| Physician Assistant | 363A00000X | 092911 | IA | |
| Physician Assistant | 363A00000X | 2261 | NE | |
| Physician Assistant | 363A00000X | 57850 | CA | Primary |
Addresses
Primary practice location
450 Broadway St # D
Redwood City, CA 94063-3132
Mailing address
450 Broadway St # D
Redwood City, CA 94063-3132
Phone (650) 736-5555
Other practice location 1
16901 Lakeside Hills Ct
Omaha, NE 68130-2318
Phone (855) 524-4001
Other practice location 2
5200 Eastern Ave
MFL West Tower 6th floor
Baltimore, MD 21224
Phone (410) 550-5018
Other names 1
- Michaela McBride
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.53 of 100
- Quality
- 87.08
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57850 | CA | MD | Dentist |
| 2261 | NE | MD | Occupational Therapist |
| 092911 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Health Care | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients |
Locations
7999 Gateway Blvd
Ste 200
Newark, CA 94560
Phone (510) 806-2947
450 Broadway St
#D
Redwood City, CA 94063
Phone (650) 736-5555
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
Interoperability endpoints
- mcerrato131706@direct.stanfordhealthcare.org
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
-
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1023539673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 BROADWAY ST # D",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940633132",
"telephone_number": "650-736-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 BROADWAY ST # D",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940633132",
"telephone_number": "650-736-5555"
}
],
"practiceLocations": [
{
"address_1": "16901 Lakeside Hills Ct",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681302318",
"country_code": "US",
"telephone_number": "855-524-4001",
"fax_number": "402-717-7340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5200 Eastern Ave",
"address_2": "MFL West Tower 6th floor",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "21224",
"country_code": "US",
"telephone_number": "410-550-5018",
"fax_number": "410-550-2972",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CERRATO",
"first_name": "MICHAELA",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-05",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C06533",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "092911",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "2261",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "57850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAELA",
"last_name": "MCBRIDE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.