Individual provider Active NPI

Alejandro Rafael Del Cerro I, SURGICAL ASSISTANT

  • Surgical Assistant
  • Downey, CA
National Provider Identifier
1346787959
Registry record updated Jan 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
116792 Issued in CA
Practice address
10315 Western Ave
Apt B-2
Downey, CA 90241-2466
Phone
(562) 658-9787
NPI assigned
Jan 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 116792 CA Primary

Addresses

Primary practice location

10315 Western Ave
Apt B-2
Downey, CA 90241-2466

Mailing address

10315 Western Ave
Apt B-2
Downey, CA 90241-2466
Phone (562) 658-9787

Other identifiers 1

IdentifierTypeStateIssuer
99893779F35341OtherCAMEDICAL

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

State licenses

LicenseStateTypeSpecialty
116792CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1484956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484956800000",
    "number": "1346787959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10315 WESTERN AVE",
            "address_2": "APT B-2",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902412466",
            "telephone_number": "562-658-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10315 WESTERN AVE",
            "address_2": "APT B-2",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902412466",
            "telephone_number": "562-658-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL CERRO",
        "first_name": "ALEJANDRO",
        "middle_name": "RAFAEL",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "SURGICAL ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-21",
        "last_updated": "2017-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CA",
            "license": "116792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "99893779F35341",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2017; 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.