NPIMap

Individual provider Active NPI

Mario L Ceja, MD

  • Family Medicine Physician
  • Calexico, CA
National Provider Identifier
1891753315
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G79700 Issued in CA
Practice address
251 West Cole Boulevard
Calexico, CA 92231-9722
Phone
(760) 357-3768
Fax
(877) 355-1742
NPI assigned
May 3, 2006
Last updated
Oct 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G79700 CA Primary

Addresses

Primary practice location

251 West Cole Boulevard
Calexico, CA 92231-9722

Mailing address

2061 Ross Ave Ste B
El Centro, CA 92243-3687
Phone (760) 357-3768

Other identifiers 5

IdentifierTypeStateIssuer
W13536BOtherCAMEDICARE GROUP #
ZZZ47481ZOtherCABLUE SHIELD ZZZ #
GR0066312OtherCAMEDI-CAL GROUP #
WG79700AOtherCAMEDICARE PTAN
00G79700MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120201000514 CA Practitioner - Family Practice 4183617731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Diego School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

251 W Cole Blvd
Calexico, CA 92231-9722
Phone (760) 357-3768

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
79700CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ceja & Singh a Medical Corporation Family Medicine CurrentSince Apr 19, 2021 Accepting new patients

Locations

251 W Cole Blvd
Calexico, CA 92231
Phone (760) 357-3768

2061 Ross Ave
Ste B
El Centro, CA 92243
Phone (760) 352-5800

10174 Old Grove Rd
Ste 130
San Diego, CA 92131

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHGECD/Endpoint/FHGECD

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1891753315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 ROSS AVE STE B",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433687",
            "telephone_number": "760-357-3768",
            "fax_number": "760-355-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 WEST COLE BOULEVARD",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922319722",
            "telephone_number": "760-357-3768",
            "fax_number": "877-355-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEJA",
        "first_name": "MARIO",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G79700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "W13536B",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ZZZ #",
            "identifier": "ZZZ47481Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL GROUP #",
            "identifier": "GR0066312",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WG79700A",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G79700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calexico, CA

Sources for this page

Verify at the official NPI Registry.