Active NPI
Meinrado Cedeno, MSN, RN, CPNP
- Pediatric Nurse Practitioner
- Mission Viejo, CA
National Provider Identifier
1285087007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 95002045
- Practice address
- 27800 Medical Center Rd Ste 110
Mission Viejo, CA 92691-6407 - Phone
- (949) 364-3532
- Fax
- (949) 347-7645
- NPI assigned
- Jul 16, 2016
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 95002045 | CA | Primary |
Addresses
Primary practice location
27800 Medical Center Rd Ste 110
Mission Viejo, CA 92691-6407
Mailing address
322 E 238TH PL
Carson, CA 90745-5831
Phone (310) 347-8845
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
- Credentials
- Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95002045 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Celebrating Life Community Health Center | Current | Accepting new patients |
Locations
27800 Medical Center Rd
Ste 110
Mission Viejo, CA 92691
Phone (949) 364-9255
Interoperability endpoints
- meinradocedeno@clchc.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Mission Viejo, CA
- NPI 1386273100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1285087007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 E 238TH PL",
"city": "CARSON",
"state": "CA",
"postal_code": "907455831",
"telephone_number": "310-347-8845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27800 MEDICAL CENTER RD STE 110",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916407",
"telephone_number": "949-364-3532",
"fax_number": "949-347-7645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEDENO",
"first_name": "MEINRADO",
"credential": "MSN, RN, CPNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-16",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "95002045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
- Hernan P Castro-Rueda, M.D.
- Lila Guadalupe Castro
- Manuela Shayne Padayao Castro, FNP-BC, FNP-C
- Samuel Castro, CPT 1
- Cathearine Jenkins Hall Psychology PHD PC
- Celebrating Life Community Health Center
- Celebrating Life Community Health Center
- Celebrating Life Community Health Center
- Cep America - Auc, PC
- Cep America - Auc, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.