Active NPI
Mario Cervantes
- Community Health Worker
- Panorama City, CA
National Provider Identifier
1750719373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 13652 Cantara St
Panorama City, CA 91402-5423 - Phone
- (818) 375-4355
- NPI assigned
- Oct 16, 2013
- Last updated
- Apr 17, 2017
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
13652 Cantara St
Panorama City, CA 91402-5423
Mailing address
15043 Minnehaha St
Mission Hills, CA 91345-2520
Phone (818) 489-3188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492387200000",
"number": "1750719373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15043 MINNEHAHA ST",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913452520",
"telephone_number": "818-489-3188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13652 CANTARA ST",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914025423",
"telephone_number": "818-375-4355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERVANTES",
"first_name": "MARIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-16",
"last_updated": "2017-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Panorama City, CA
- Jessica Cedillo Ramirez, DNP
- Center for Family Health and Education Inc (Priority Care Medical Group-Mobile)
- Center for Family Health and Education Inc (Priority Care Medical Group-Panorama City)
- Center for Family Health and Education Inc
- Center for Family Health and Education Inc
- Joaquim Jose Cerveira, MD
- Linda Joo-Sil Cha, PHARMD
- Siripa Chakavarnmongkol, PHARM D
- Armen Chalian, M.D.
- Nabbin Sonny Chammachel, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.