Active NPI
Nadine Marie Cerqua, P.T.
- Contractor
- Vista, CA
National Provider Identifier
1346281201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- PT23729
- Practice address
- 1926 Via Centre Dr, Ste B
Vista, CA 92081-6056 - Phone
- (760) 632-2512
- Fax
- (760) 634-2758
- NPI assigned
- Jun 9, 2006
- Last updated
- Apr 24, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | PT23729 | CA | Primary |
Addresses
Primary practice location
1926 Via Centre Dr, Ste B
Vista, CA 92081-6056
Mailing address
1926 Via Centre Drive, Ste. B
Vista, CA 92081-6056
Phone (760) 632-2512
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23729 | CA | MD | Professional Counselor |
| PT23729 | CA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429833600000",
"number": "1346281201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1926 VIA CENTRE DRIVE, STE. B",
"city": "VISTA",
"state": "CA",
"postal_code": "920816056",
"telephone_number": "760-632-2512",
"fax_number": "760-634-2758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1926 VIA CENTRE DR, STE B",
"city": "VISTA",
"state": "CA",
"postal_code": "920816056",
"telephone_number": "760-632-2512",
"fax_number": "760-634-2758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERQUA",
"first_name": "NADINE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2015-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "CA",
"license": "PT23729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vista, CA
- Irma Cazarez
- Daisy Cedillo
- Beatriz Celis
- Center for Hip Preservation and Children's Orthopaedics Inc.
- Centro de Salud de la Comunidad de San Ysidro, Inc. (San Diego PACE Vista)
- Heidi Z Cevallos, PHARMD
- Consuelo Gil Chaffee, FNP
- Kevin David Chalk, DMD
- Kaliana Chamberlin, NP, CNM
- Jillian Nicole Chambers, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.