Individual provider Active NPI

Jose Angel Caceres, MD

  • Interventional Cardiology Physician
  • Buena Park, CA
National Provider Identifier
1992766604
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A47901 Issued in CA
Practice address
8585 Knott Ave
#101
Buena Park, CA 90620
Phone
(714) 821-8588
Fax
(714) 821-4482
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A47901 CA Primary

Addresses

Primary practice location

8585 Knott Ave
#101
Buena Park, CA 90620

Mailing address

8585 Knott Ave Ste 101
Buena Park, CA 90620-3896
Phone (714) 821-8588

Other identifiers 2

IdentifierTypeStateIssuer
00A479010MedicaidCA
330622058OtherCASTATE

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
I20040512001428 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1254321300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8585 Knott Ave
Suite 101
Buena Park, CA 90620-3896
Phone (714) 821-8588

Hospital & facility affiliations

  • Lifesavers' Home Health Services, Inc Home health agency, La Habra, CA, CCN 059057
  • Aspire Healthcare Services Home health agency, Upland, CA, CCN 059761
  • Ahmc Anaheim Regional Medical Center Hospital, Anaheim, CA, CCN 050226
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Anaheim Terrace Care Center Nursing home, Anaheim, CA, CCN 056076

Merit-based Incentive Payment System (MIPS)

Final score
88.86 of 100Reported as individual
Quality
63.5
Improvement activities
40
Cost
78.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anaheim Memorial Medical Center Past Accepting new patients
Advanced Heart Care and Wellness Center Inc PastSince Mar 1, 2013 Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1992766604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 KNOTT AVE STE 101",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203896",
            "telephone_number": "714-821-8588",
            "fax_number": "714-821-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 KNOTT AVE",
            "address_2": "#101",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "90620",
            "telephone_number": "714-821-8588",
            "fax_number": "714-821-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACERES",
        "first_name": "JOSE",
        "middle_name": "ANGEL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A47901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A479010",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "330622058",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.