Active NPI
Ceresti Health Inc
- Gerontology Nurse Practitioner
- Carlsbad, CA
National Provider Identifier
1972359636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Anchorage, AK
- NPI 1851412340
CA
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.