Organization Active NPI

Richard a. Cercle M.D.

  • Gastroenterology Physician
  • Modesto, CA
National Provider Identifier
1447393863
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G11715 Issued in CA
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

Updated by the provider on Jan 14, 2008

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.