Organization Active NPI

Ceresti Health Inc

  • Gerontology Nurse Practitioner
  • Carlsbad, CA
National Provider Identifier
1972359636
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
CERESTI HEALTH INC
Practice address
2888 Loker Ave E Ste 110
Carlsbad, CA 92010-6683
Phone
(760) 492-8957
NPI assigned
Apr 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Dirk Soenksen
Title
Ceo
Phone
(760) 453-0997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X Primary

Addresses

Primary practice location

2888 Loker Ave E Ste 110
Carlsbad, CA 92010-6683

Mailing address

2888 Loker Ave E Ste 110
Carlsbad, CA 92010-6683
Phone (760) 492-8957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240517001068 CA Part B Supplier - Clinic/Group Practice 6709227531 Receives reassigned benefits from 3 practitioners
Practice locations: Carlsbad, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1972359636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 LOKER AVE E STE 110",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920106683",
            "telephone_number": "760-492-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 LOKER AVE E STE 110",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920106683",
            "telephone_number": "760-492-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERESTI HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "SOENKSEN",
        "authorized_official_first_name": "DIRK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-453-0997"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.