Individual provider Active NPI

Ceferino Salcedo Quizon, M.D

  • Adult Medicine Physician
  • Port Hueneme, CA
National Provider Identifier
1326346966
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
AFE23655 Issued in CA
Practice address
407 Village Rd
Port Hueneme, CA 93041-3032
Phone
(805) 271-1048
NPI assigned
Mar 7, 2011
Last updated
Mar 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X AFE23655 CA Primary

Addresses

Primary practice location

407 Village Rd
Port Hueneme, CA 93041-3032

Mailing address

407 Village Rd
Port Hueneme, CA 93041-3032
Phone (805) 271-1048

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AFE23655CAMDAdult Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1326346966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 VILLAGE RD",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930413032",
            "telephone_number": "805-271-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 VILLAGE RD",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930413032",
            "telephone_number": "805-271-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIZON",
        "first_name": "CEFERINO",
        "middle_name": "SALCEDO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "AFE23655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Hueneme, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.