Active NPI
Ana Mercedes Cerritos-Sanchez
- Community Health Worker
- Tualatin, OR
National Provider Identifier
1962851311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 755309
- Practice address
- 19355 SW 65TH Ave Apt A5
Tualatin, OR 97062 - Phone
- (971) 224-5540
- NPI assigned
- Jun 7, 2016
- Last updated
- Jun 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 755309 | OR | Primary |
Addresses
Primary practice location
19355 SW 65TH Ave Apt A5
Tualatin, OR 97062
Mailing address
19355 SW 65TH Ave Apt A5
Tualatin, OR 97062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 755309 | Medicaid | OR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 755309 | OR | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1962851311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19355 SW 65TH AVE APT A5",
"city": "TUALATIN",
"state": "OR",
"postal_code": "97062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19355 SW 65TH AVE APT A5",
"city": "TUALATIN",
"state": "OR",
"postal_code": "97062",
"telephone_number": "971-224-5540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERRITOS-SANCHEZ",
"first_name": "ANA",
"middle_name": "MERCEDES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-07",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OR",
"license": "755309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "755309",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.