Active NPI
Hector Cereceres, LVN
- Licensed Vocational Nurse
- Brentwood, CA
National Provider Identifier
1710897707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 290886
- Practice address
- 800 Emilio Dr
Brentwood, CA 94513-4063 - Phone
- (451) 221-4810
- NPI assigned
- Sep 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 290886 | TX | Primary |
Addresses
Primary practice location
800 Emilio Dr
Brentwood, CA 94513-4063
Mailing address
800 Emilio Dr
Brentwood, CA 94513-4063
Phone (415) 221-4810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1710897707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 EMILIO DR",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945134063",
"telephone_number": "415-221-4810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 EMILIO DR",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945134063",
"telephone_number": "451-221-4810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERECERES",
"first_name": "HECTOR",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "290886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.