Virgilio Celeste Ereso Sr., M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

00A303080 Issued in CA

Practice address

1917 Memorial Dr
Suite a-1
Ceres, CA 95307-1861

Phone

(209) 538-1985

Fax

(209) 538-6836

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Internal MedicineAlso: Pulmonary Disease

Education

Other, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Care at Home Home health agency, Salida, CA, CCN 057695
• Memorial Medical Center Hospital, Modesto, CA, CCN 050557

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (1 of 2)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

• Virgilio C. Ereso M.D. Inc.

  • Primary Care Clinic/Center
  • Modesto, CA
  • NPI 1063698041

  CA, Pulmonary Disease

  Medicare reassignment NPD Authorized official

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

• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1699129601

  Hospital

  Care Compare affiliation
• Sutter Visiting Nurse Association and Hospice

  • Home Health Agency
  • Salida, CA
  • NPI 1972876506
  Care Compare affiliation

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720031685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 MEMORIAL DR",
            "address_2": "SUITE A-1",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953071861",
            "telephone_number": "209-538-1985",
            "fax_number": "209-538-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 MEMORIAL DR",
            "address_2": "SUITE A-1",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953071861",
            "telephone_number": "209-538-1985",
            "fax_number": "209-538-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERESO",
        "first_name": "VIRGILIO",
        "middle_name": "CELESTE",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "00A303080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A303080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elite Family Systems
• Elite Family Systems
• Elite Family Systems - Blaker Home
• Leisa Suzanne Elliott
• Marisa Emmons
• Frances Escamilla
• Theresa Sanchez Escobar
• Kerry Bruce Evnin, MD
• Jessica Marie Fabela
• Dulce Farfan Ruiz

• All providers in Ceres, CA
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.