Cerecare Clinics LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CERECARE CLINICS LLC

Doing business as

Brain Health Restoration Center

Practice address

5255 Longley LN Ste 140
Reno, NV 89511-5201

Phone

(775) 507-7024

NPI assigned

Jun 29, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Chon Zavala, DO

Title

Medical Director

Phone

(775) 848-3052

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Brain Health Restoration Center Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1942932769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 LONGLEY LN STE 140",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895115201",
            "telephone_number": "775-507-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 LONGLEY LN STE 140",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895115201",
            "telephone_number": "775-507-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERECARE CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "ZAVALA",
        "authorized_official_first_name": "CHON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "775-848-3052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1437122835",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "775-507-7024",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "5255 Longley Ln Ste 140",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895115201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Brain Health Restoration Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cep America - Anesthesia PC
• Cep America - Anesthesia PC
• John Eric Cercek, D.M.D. M.S.D.
• John Frank Cercek Jr., DMD MS
• Megan Michelle Cercek, DMD
• Cassandra Ceremuga, DO
• Bryanne Cerfoglio
• Brandy Ceril, PHARMD
• Deana Cerna
• Madison Sarah Cerny, M.S CCC-SLP

• Multi-Specialty Clinic/Center in Reno, NV
• Providers in Reno, NV by specialty
• Multi-Specialty Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.