Mary Caizza Cerni, D.O.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

20A5318 Issued in CA

Practice address

1325 N Rose Dr
Suite 203
Placentia, CA 92870-3840

Phone

(714) 529-5674

Fax

(714) 529-6122

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Access Primary Care Physicians, Inc.

  • Family Medicine Physician
  • Whittier, CA
  • NPI 1750858510
  NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1164519989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N ROSE DR",
            "address_2": "SUITE 203",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703840",
            "telephone_number": "714-529-5674",
            "fax_number": "714-529-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N ROSE DR",
            "address_2": "SUITE 203",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703840",
            "telephone_number": "714-529-5674",
            "fax_number": "714-529-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERNI",
        "first_name": "MARY",
        "middle_name": "CAIZZA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "20A5318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "F0732Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01003098",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Min Cen, APRN
• Centers of Rehabilitation & Pain Medicine Inc
• Centers of Rehabilitation & Pain Medicine Inc
• Centers of Rehabilitation & Pain Medicine, Inc
• Jessie Gabriel Cerda
• CH MH Services (Ca), LLC
• Keumhi Cha
• Genesis V Chacon
• Angela Chan, COTA/L
• Nai-Wen Chang

• Adult Medicine Physician in Placentia, CA
• Providers in Placentia, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.