Active NPI
Oscar Cerezo
- Behavior Technician
- Cerritos, CA
National Provider Identifier
1023574480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 12604 Hiddencreek Way Ste C
Cerritos, CA 90703-2137 - Phone
- (855) 223-7123
- NPI assigned
- Feb 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | Primary |
Addresses
Primary practice location
12604 Hiddencreek Way Ste C
Cerritos, CA 90703-2137
Mailing address
PO Box 33568
San Diego, CA 92163-3568
Phone (855) 223-7123
Other practice location 1
16410 Bloomfield Ave Ste B
Cerritos, CA 90703-2144
Phone (562) 760-4429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1023574480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33568",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921633568",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12604 HIDDENCREEK WAY STE C",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032137",
"telephone_number": "855-223-7123"
}
],
"practiceLocations": [
{
"address_1": "16410 Bloomfield Ave Ste B",
"address_purpose": "LOCATION",
"city": "Cerritos",
"state": "CA",
"postal_code": "907032144",
"country_code": "US",
"telephone_number": "562-760-4429",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CEREZO",
"first_name": "OSCAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-11",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
- Centerpointe Therapy Inc
- Emy Synthia Centes Perez
- Centric Health Inc
- Andrea Teresa Cerda
- Emilia Cerdas
- Cerritos 2020 Optometry a Proffesional Optometric Corporatio
- Cerritos Congregate Living Corporation
- Cerritos Dialysis Center LLC
- Cerritos Endoscopic Medical Center, Inc.
- Cerritos Eye Medical Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.