Individual provider Active NPI

Gilbert Cerezo Pascual Jr., RNFA

  • Registered Nurse First Assistant
  • Queen Creek, AZ
National Provider Identifier
1902191133
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN117145 Issued in AZ
Practice address
3236 W Yellow Peak Dr
Queen Creek, AZ 85142-3038
Phone
(480) 659-3244
Fax
(480) 659-3244
NPI assigned
Jun 16, 2011
Last updated
Jun 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN117145 AZ Primary

Addresses

Primary practice location

3236 W Yellow Peak Dr
Queen Creek, AZ 85142-3038

Mailing address

3236 W Yellow Peak Dr
Queen Creek, AZ 85142-3038
Phone (480) 659-3244

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

State licenses

LicenseStateTypeSpecialty
RN117145AZMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1902191133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 W YELLOW PEAK DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851423038",
            "telephone_number": "480-659-3244",
            "fax_number": "480-659-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 W YELLOW PEAK DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851423038",
            "telephone_number": "480-659-3244",
            "fax_number": "480-659-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCUAL",
        "first_name": "GILBERT",
        "middle_name": "CEREZO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AZ",
            "license": "RN117145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.