Individual provider Active NPI

Miguel Cerejo, D.O.

  • Hematology & Oncology Physician
  • Pleasant Hill, CA
National Provider Identifier
1447236344
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
20A8747 Issued in CA
Practice address
400 Taylor Blvd
Suite # 201
Pleasant Hill, CA 94523-2147
Phone
(925) 687-2570
Fax
(925) 687-2847
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 20A8747 CA Primary

Addresses

Primary practice location

400 Taylor Blvd
Suite # 201
Pleasant Hill, CA 94523-2147

Mailing address

4721 Dallas Ranch Road
Antioch, CA 94531-8811
Phone (925) 778-0679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120314000838 CA Practitioner - Internal MedicinePractitioner - Hospitalist 5496914202 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A8747CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Oct 6, 2013 Accepting new patients
Regents of the University of California Hematology & Oncology CurrentSince Oct 6, 2013 Accepting new patients
UCSF Medical Group Business Services Hematology & Oncology CurrentSince Oct 6, 2013 Accepting new patients
University of California San Francisco CurrentSince Oct 6, 2013 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Oct 6, 2013 Accepting new patients
John Muir Trauma Physicians Billing Service CurrentSince Apr 3, 2012 Accepting new patients

Locations

2540 East St
Concord, CA 94520
Phone (925) 674-2228

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

3333 California St
San Francisco, CA 94118
Phone (415) 514-3577

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1447236344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 DALLAS RANCH ROAD",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318811",
            "telephone_number": "925-778-0679",
            "fax_number": "925-778-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TAYLOR BLVD",
            "address_2": "SUITE # 201",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232147",
            "telephone_number": "925-687-2570",
            "fax_number": "925-687-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEREJO",
        "first_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "20A8747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

Verify at the official NPI Registry.