Ana O Contreras-Cerrillo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54132 Issued in CA

Practice address

511 E San Ysidro Blvd
#231
San Ysidro, CA 92173-3150

Phone

(619) 606-0372

NPI assigned

Jan 10, 2011

Last updated

Jan 10, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Health Centers of San Diego, Inc

  dba Logan Heights Family Health Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1447281936
  Medicare reassignment NPD
• Family Health Centers of San Diego, Inc

  dba Family Health Center for Older Adults

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1093298879
  NPD
• Family Health Centers of San Diego, Inc

  dba Escondido Physical Health and Wellness

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
  • NPI 1356178180
  NPD

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1114221819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 E SAN YSIDRO BLVD",
            "address_2": "#231",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921733150",
            "telephone_number": "619-606-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E SAN YSIDRO BLVD",
            "address_2": "#231",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921733150",
            "telephone_number": "619-606-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS-CERRILLO",
        "first_name": "ANA",
        "middle_name": "O",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54132",
            "primary": true
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "49001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ami A Choi, PA
• Clenton Reyes Clarion, PA-C
• Skylar Clark, DPT
• Juan Conant, HE
• Martin Valera Consunji, MD
• Tia Cornelius, COTA
• Lorinda Corona
• Max Corona
• Carla Corrales
• Nitza Corrales, PPS, MS

• General Practice Dentistry in San Ysidro, CA
• Providers in San Ysidro, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.