Joseph George Cerjan, M.D.
Individual provider Active NPI Family Medicine Physician · Borrego Springs, CA
NPI 1447280607 · NPPES record last updated Oct 3, 2024
Key facts
- NPI
- 1447280607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A45529 (CA)
- Practice address
- 4343 Yaqui Pass Road
Borrego Springs, CA 92004 - Phone
- (607) 675-0517
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 16
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dap Health Inc
Borrego Community Health Foundation
Practice addresses (Care Compare)
4343 Yaqui Pass Rd
Borrego Springs, CA 92004
Phone (760) 767-5051
88775 76TH Ave
Suite 1
Thermal, CA 92274-9681
Phone (760) 397-2501
PO Box
Borrego Springs, CA 92004-2369
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241010003146 | CA | Practitioner - Family Practice | 6406045657 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A45529 | CA | MD | Family Medicine Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dap Health, Inc. | Current |
Accepting new patients | |
| Dap Health Inc. | Current |
Accepting new patients | |
| Dap Health Inc | Past | Accepting new patients |
Locations
1695 N Sunrise Way
Palm Springs, CA 92262
Phone (760) 325-9370
88775 76th Ave
Ste 1
Thermal, CA 92274
Phone (760) 397-2501
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jcerjan710799@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A45529 | CA | Yes |
Addresses
Primary practice location
4343 Yaqui Pass Road
Borrego Springs, CA 92004
Mailing address
1695 N Sunrise Way
Palm Springs, CA 92262-3701
Phone (603) 237-2118
Other providers in Borrego Springs, CA
- Borrego Community Health Foundation
- Borrego Springs Fire Protection District
- Borrego Springs Unified School District
- Borrego Stat Care Inc
- Paul J. Califano
- Claudia Baker-Fortiner, PT
- Dap Health, Inc.
- Dap Health, Inc.
- Dap Health, Inc.
- Shrinda Gamache
All providers in Borrego Springs, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.