Individual provider Active NPI

James Cernilia, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Newport Beach, CA
National Provider Identifier
1891804423
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
A49898 Issued in CA
Practice address
4695 Macarthur CT
Suite 1100
Newport Beach, CA 92660-1882
Phone
(800) 525-7037
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A49898 CA Primary

Addresses

Primary practice location

4695 Macarthur CT
Suite 1100
Newport Beach, CA 92660-1882

Mailing address

4695 Macarthur Court
Suite 1100
Newport Beach, CA 92660

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040607001477 CA Practitioner - Thoracic SurgeryPractitioner - Cardiovascular Disease (Cardiology) 5092798595 Reassigns benefits to 1 organization
Practice locations: Newport Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiovascular Disease (Cardiology)
Education
Tulane University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy CT Surgery PartnershipGroup PAC ID 5698939957, 19 clinicians

Practice addresses (Care Compare)

901 San Bernardino Rd
Suite 102
Upland, CA 91786-4988
Phone (909) 579-6721

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A49898CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy CT Surgery Partnership Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 17, 2017 Accepting new patients
Dignity Health Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Community Memorial Health System Past Accepting new patients

Locations

16051 Kasota Rd
Ste 900
Apple Valley, CA 92307
Phone (760) 946-8181

605 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 307-2089

4500 Brockton Ave
Ste 317
Riverside, CA 92501
Phone (951) 367-0860

31537 Rancho Pueblo Rd
Ste 204
Temecula, CA 92592
Phone (909) 579-6721

31573 Rancho Pueblo Rd
#210
Temecula, CA 92592

901 San Bernardino Rd
Ste 102
Upland, CA 91786
Phone (909) 579-6721

Interoperability endpoints

  • Direct secure messaging: james.cernilia.p1@direct.dvmg.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891804423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4695 MACARTHUR COURT",
            "address_2": "SUITE 1100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 MACARTHUR CT",
            "address_2": "SUITE 1100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601882",
            "telephone_number": "800-525-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERNILIA",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A49898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.