Dr Oscar F Cervantes Clinical Psychologist Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY11697 Issued in CA

Legal business name

DR OSCAR F CERVANTES CLINICAL PSYCHOLOGIST INC

Practice address

715 El Camino Real # 210
San Bruno, CA 94066

Phone

(650) 589-9442

Fax

(650) 589-6943

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Oscar F Cervantes, PHD

Title

President

Phone

(650) 589-9442

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1235235821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 EL CAMINO REAL # 210",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "94066",
            "telephone_number": "650-589-9442",
            "fax_number": "650-589-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 EL CAMINO REAL # 210",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "94066",
            "telephone_number": "650-589-9442",
            "fax_number": "650-589-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR OSCAR F CERVANTES CLINICAL PSYCHOLOGIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "CERVANTES",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-589-9442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY11697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Domaoal
• Katherine Paige Donnell
• Claire Margaret Donovan
• Mark Doty II, D.V.M.
• Wei Dou
• Dr. Thomas Aller Optometrist, Inc.
• Ashley Elizabeth Draper
• Lynnae Ashley Dumalo
• Dilber Duran
• Julianna Duran

• Clinical Psychologist in San Bruno, CA
• Providers in San Bruno, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.