Andres Caicedo a Proffesional Corporation

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ANDRES CAICEDO A PROFFESIONAL CORPORATION

Practice address

2425 East St Ste 17
Concord, CA 94520-1926

Phone

(925) 689-0865

Fax

(925) 676-7206

NPI assigned

Jul 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Andres Caicedo, MD

Title

President

Phone

(925) 689-0865

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1982894663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 EAST ST STE 17",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201926",
            "telephone_number": "925-689-0865",
            "fax_number": "925-676-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 EAST ST STE 17",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201926",
            "telephone_number": "925-689-0865",
            "fax_number": "925-676-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRES CAICEDO A PROFFESIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CAICEDO",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-689-0865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Celina Andrade Diaz, BCBA, LBA
• Consuelo Andrade
• Gloria Andrade, D.C.
• Nancy Andrade
• Andreas Kamlot MD, a Medical Corportation
• Andrew D. Lee DDS, a Dental Corporation (Concord Dental Specialty)
• Julie Margarita Andrews Junco
• Delionn Michele Aaliyah Andrews
• Kyla Theora Andrews
• Theresa Andrews

• Medical Specialty Clinic/Center in Concord, CA
• Providers in Concord, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.