Mario Cedillo, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

31215601 Issued in NY

Practice address

631 W Avenue Q Ste a
Palmdale, CA 93551-3892

Phone

(805) 416-6894

NPI assigned

Apr 1, 2016

Last updated

Dec 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CA2 enrollments

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 2

Specialty

Interventional Radiology

Education

JS Weill Medical College, Cornell University, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians

Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Radiology Associates of San Luis Obispo a Medical Group IncGroup PAC ID 6608319702, 56 clinicians

Sol Radiology IncGroup PAC ID 1850796681, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
• French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
• Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506
• Adventist Health Twin Cities Hospital, Templeton, CA, CCN 050633
• Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 34)

Interoperability endpoints

• Direct secure messaging: mcedillo235893@cityofhope.direct-ci.com

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

• Adventist Health Physicians Network

  • Multi-Specialty Clinic/Center
  • Hanford, CA
  • NPI 1063718583
  Medicare reassignment Care Compare group NPD
• Radiology Associates of San Luis Obispo, a Medical Group Inc

  • Diagnostic Radiology Physician
  • Templeton, CA
  • NPI 1326888140

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Sol Radiology, Inc.

  • Diagnostic Radiology Physician
  • Victorville, CA
  • NPI 1457928111

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Empire State Radiology P C

  • Diagnostic Radiology Physician
  • West Islip, NY
  • NPI 1255962783

  CA, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Alliance Interventional Institute, Inc

  dba Alliance Vascular

  • Radiology Clinic/Center
  • Palmdale, CA
  • NPI 1710330188

  Multi-Specialty

  Medicare reassignment NPD
• City of Hope Medical Foundation

  dba City of Hope Duarte

  • Hematology & Oncology Physician
  • Duarte, CA
  • NPI 1871886366

  Multi-Specialty

  Medicare reassignment NPD
• Krishna Das MD Inc.

  • Diagnostic Radiology Physician
  • Victorville, CA
  • NPI 1164284196

  Multi-Specialty

  Medicare reassignment NPD
• Megha Nayyar Gupta MD Inc.

  • Diagnostic Radiology Physician
  • Victorville, CA
  • NPI 1669234670

  Multi-Specialty

  Medicare reassignment NPD
• Rahul Nayyar MD Inc

  • Diagnostic Radiology Physician
  • Victorville, CA
  • NPI 1518729516

  Multi-Specialty

  Medicare reassignment NPD
• New York University

  dba NYU Faculty Group Practice

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  Multi-Specialty, NY

  Medicare reassignment NPD
• Adventist Health Physicians Network

  • Physical Therapy Clinic/Center
  • Paradise, CA
  • NPI 1134092190
  NPD
• Adventist Health Physicians Network

  • Neurological Surgery Physician
  • Atascadero, CA
  • NPI 1841058120

  Multi-Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Community Care

  dba French Hospital Medical Center

  • General Acute Care Hospital
  • San Luis Obispo, CA
  • NPI 1881760452
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Santa Maria, CA
  • NPI 1760510937
  Care Compare affiliation
• Sierra Vista Hospital, Inc.

  dba Sierra Vista Regional Medical Center

  • General Acute Care Hospital
  • San Luis Obispo, CA
  • NPI 1639101116
  Care Compare affiliation
• Twin Cities Community Hospital, Inc.

  dba Twin Cities Community Hospital

  • General Acute Care Hospital
  • Templeton, CA
  • NPI 1396778197
  Care Compare affiliation
• Garnet Health Medical Center

  • General Acute Care Hospital
  • Middletown, NY
  • NPI 1609875772
  Care Compare affiliation

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1508229030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 W AVENUE Q STE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513892",
            "telephone_number": "805-416-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 W AVENUE Q STE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513892",
            "telephone_number": "805-416-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDILLO",
        "first_name": "MARIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "31215601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Castro
• Virginia Castro, ASW
• Catalino Dureza MD Mba
• Jennifer Rae Catron
• CBG Medical Group LLC
• Elizabeth M Ceja, MSW
• Shacoya Celestine
• Joshua Cenido
• Center for Orthopedics & Rehabilitation Medical Group
• Cep America - Neurology PC

• Vascular & Interventional Radiology Physician in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Vascular & Interventional Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.