Active NPI
Richard a. Cercle M.D.
- Gastroenterology Physician
- Modesto, CA
National Provider Identifier
1447393863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G11715
- Legal business name
- RICHARD A. CERCLE M.D.
- Practice address
- 1429 College Ave Ste B
Modesto, CA 95350-4046 - Phone
- (209) 526-8038
- Fax
- (209) 526-6841
- NPI assigned
- Feb 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Cercle
- Title
- Gastroenterology
- Phone
- (209) 526-8038
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G11715 | CA | Primary |
Addresses
Primary practice location
1429 College Ave Ste B
Modesto, CA 95350-4046
Mailing address
1429 College Ave Ste B
Modesto, CA 95350-4046
Phone (209) 526-8038
National Provider Directory
National Provider DirectoryLocations
1429 College Ave
Ste B
Modesto, CA 95350
Phone (209) 526-8038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200268800000",
"number": "1447393863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1429 COLLEGE AVE STE B",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504046",
"telephone_number": "209-526-8038",
"fax_number": "209-526-6841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1429 COLLEGE AVE STE B",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504046",
"telephone_number": "209-526-8038",
"fax_number": "209-526-6841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD A. CERCLE M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-15",
"last_updated": "2008-01-14",
"status": "A",
"authorized_official_last_name": "CERCLE",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "GASTROENTEROLOGY",
"authorized_official_telephone_number": "209-526-8038"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "G11715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.