Annette J Cedillo

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

8887 Palmetto Ave
Fontana, CA 92335-4939

Phone

(951) 232-2503

NPI assigned

May 30, 2025

Last updated

May 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other names 1

• Annette Jeannette Northup Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1407749229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8887 PALMETTO AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923354939",
            "telephone_number": "951-232-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8887 PALMETTO AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923354939",
            "telephone_number": "951-232-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDILLO",
        "first_name": "ANNETTE",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "NORTHUP",
            "middle_name": "JEANNETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Hanna Castro, PHARM.D., BCPS
• Cipriano Castro, PHYSICAL THERAPIST
• Cathy Nguyen, O.D., a Professional Optometric Corporation
• Christina Catren, PPS
• Sylvia E Cayetano, CRNA
• Jassmin Adely Cedillo, M.S
• Elizabeth Irene Celaya-Ojeda, MD
• Central Neighborhood Health Foundation
• Janett Ceron, LCSW
• Luis Orlando Cerrato, PTA

• Case Manager/Care Coordinator in Fontana, CA
• Providers in Fontana, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.