Individual provider Active NPI

Vera D Cecilio, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Encino, CA
National Provider Identifier
1952404451
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
A26195 Issued in CA
Practice address
16661 Ventura Blvd Ste 405
Encino, CA 91436-1960
Phone
(818) 986-1200
Fax
(818) 986-3011
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X A26195 CA Primary

Addresses

Primary practice location

16661 Ventura Blvd Ste 405
Encino, CA 91436-1960

Mailing address

7345 Medical Center Dr
Ste 510
West Hills, CA 91307-1967
Phone (818) 888-7878

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
I20100922000447 CA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 5698891141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CV ENT Surgical GroupGroup PAC ID 9032295241, 3 clinicians

Practice addresses (Care Compare)

16500 Ventura Blvd
Suite 320
Encino, CA 91436-2016
Phone (818) 986-1200

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
C/V ENT Surgical Group Otolaryngology/Facial Plastic Surgery CurrentSince Dec 5, 2016 Accepting new patients
Michael S. Reder, M.D., a Medical Corporation PastSince Dec 5, 2016 Accepting new patients

Locations

16500 Ventura Blvd
Ste 320
Encino, CA 91436
Phone (818) 982-1200

7345 Medical Center Dr
Ste 510
West Hills, CA 91307
Phone (818) 340-3444

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1952404451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 MEDICAL CENTER DR",
            "address_2": "STE 510",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071967",
            "telephone_number": "818-888-7878",
            "fax_number": "818-888-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 405",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361960",
            "telephone_number": "818-986-1200",
            "fax_number": "818-986-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECILIO",
        "first_name": "VERA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "A26195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.