Ricardo G Cacdac MD a Professional Corp

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A525730 Issued in CA

Legal business name

RICARDO G CACDAC MD A PROFESSIONAL CORP

Practice address

72780 Country Club Dr
Suite C306
Rancho Mirage, CA 92270-4126

Phone

(760) 779-1828

Fax

(760) 779-8246

NPI assigned

May 2, 2012

Last updated

May 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ricardo G Cacdac, M.D.NPI 1225130362

Title

Owner

Phone

(760) 779-1828

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ricardo Gonzalez Cacdac, MD

  • Surgery Physician
  • Rancho Mirage, CA
  • NPI 1225130362
  NPD Authorized official
• Anirban Gupta, MD

  • Surgery Physician
  • Seattle, WA
  • NPI 1750588943
  NPD (past)
• Evelyn Lillian Kachikwu, MD

  • Surgical Oncology Physician
  • El Paso, TX
  • NPI 1023283124

  Surgery

  NPD (past)

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1336407964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1157",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701157",
            "telephone_number": "760-779-1828",
            "fax_number": "760-779-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR",
            "address_2": "SUITE C306",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704126",
            "telephone_number": "760-779-1828",
            "fax_number": "760-779-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO G CACDAC MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "CACDAC",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-779-1828",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A525730",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "A525730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jannett Reyes, M.S., BCBA
• Behnoud Reyhani, DDS
• Roberto Reyna, MD
• Dusanka Rose Marie Reynolds, PHD
• Reza Nazemi, MD, a Professional Corporation
• Julie Anhalt Rice, MFT, PSYD
• Richard a Stone, M.D., a Professional Corporation
• Richard Arthur Bullock DDS
• Richard E. Fausel, D.O, a Professional Corporation
• Holly Richardson, FNP

• Surgery Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.