Active NPI
Menandro Ceralde
- Electroneurodiagnostic Specialist/Technologist
- Riverside, CA
National Provider Identifier
1437549193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 18693
- Practice address
- 3925 Pierce St Apt 533
Riverside, CA 92505-5804 - Phone
- (310) 357-0013
- NPI assigned
- Feb 2, 2015
- Last updated
- Feb 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 18693 | VA | Primary |
Addresses
Primary practice location
3925 Pierce St Apt 533
Riverside, CA 92505-5804
Mailing address
3925 Pierce St Apt 533
Riverside, CA 92505-5804
Phone (310) 357-0013
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18693 | VA | MD | Electroneurodiagnostic Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422835200000",
"number": "1437549193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3925 PIERCE ST APT 533",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925055804",
"telephone_number": "310-357-0013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 PIERCE ST APT 533",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925055804",
"telephone_number": "310-357-0013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERALDE",
"first_name": "MENANDRO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-02",
"last_updated": "2015-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "VA",
"license": "18693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.