Individual provider Active NPI

Jaime Foronda Dela Cerna, MD

  • Internal Medicine Physician
  • Visalia, CA
National Provider Identifier
1053483289
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A032749 Issued in CA
Practice address
100 Willow Plaza
Ste 210
Visalia, CA 93291-6213
Phone
(559) 625-5556
Fax
(559) 625-5578
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A032749 CA Primary

Addresses

Primary practice location

100 Willow Plaza
Ste 210
Visalia, CA 93291-6213

Mailing address

100 Willow Plaza
Ste 210
Visalia, CA 93291-6213
Phone (559) 625-5556

Other identifiers 1

IdentifierTypeStateIssuer
00A327490MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A032749CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053483289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILLOW PLAZA",
            "address_2": "STE 210",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916213",
            "telephone_number": "559-625-5556",
            "fax_number": "559-625-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILLOW PLAZA",
            "address_2": "STE 210",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916213",
            "telephone_number": "559-625-5556",
            "fax_number": "559-625-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA CERNA",
        "first_name": "JAIME",
        "middle_name": "FORONDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A032749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A327490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.