MARY CAIZZA CERNI (NPI# 1164519989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164519989 |
| Entity Type | Individual |
| Full Name | MARY CAIZZA CERNI |
| Credential | D.O. |
| Practice Address |
1325 N Rose Dr Suite 203 Placentia CA 92870-3840 |
| Practice Telephone | 7145295674 |
| Practice Fax Number | 7145296122 |
| Mailing Telephone | 7145295674 |
| Mailing Fax Number | 7145296122 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2015-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
20A5318 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | F0732Z | 01 |
| CA | RAILROAD MEDICARE | P01003098 | 01 |
| Street Address |
1325 N ROSE DR SUITE 203 |
| City | PLACENTIA |
| State | CA |
| Zip Code | 92870-3840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276684 | Robin R. Cole | Surgery | 1325 N Rose Dr, Ste 202, Placentia, CA 92870-3840 | 2005-06-23 |
| 1770926594 | Lisa Marie Wheadon | Nurse Practitioner | 1325 N Rose Dr, Suite 210, Placentia, CA 92870-3840 | 2013-04-10 |
| 1134466642 | First Choice Physician Partners | Surgery | 1325 N Rose Dr, Ste 210, Placentia, CA 92870-3800 | 2013-01-04 |
| 1346526951 | Shannon Michelle Slocum | Nurse Practitioner | 1325 N Rose Dr, #102, Placentia, CA 92870-3840 | 2011-10-26 |
| 1619291168 | Robin R Cole, Md, A Medical Corporation | Surgery | 1325 N Rose Dr, Suite 202, Placentia, CA 92870-3840 | 2010-03-25 |
| 1245461383 | Nichole S. Meissner, M.d., Inc. | Surgery | 1325 N Rose Dr, Ste 202, Placentia, CA 92870-3800 | 2009-08-06 |
| 1790950905 | Medipath Health Care Inc | Family Medicine | 1325 N Rose Dr, Suite 201, Placentia, CA 92870-3840 | 2008-04-29 |
| 1023283124 | Evelyn Lillian Kachikwu | Surgery | 1325 N Rose Dr, Ste 210, Placentia, CA 92870-3840 | 2008-04-29 |
| 1346394376 | Theodoros M Daskalakis, M.d., Inc | Surgery | 1325 N Rose Dr, Suite 202, Placentia, CA 92870-3800 | 2007-01-23 |
| 1629132592 | Edward S. Drake | Family Medicine | 1325 N Rose Dr, Suite 201, Placentia, CA 92870-3840 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952887499 | Makaela Mendelson | Speech-Language Pathologist | 240 South Placentia Avenue, Placentia, CA 92870 | 2018-07-18 |
| 1194186106 | Carrie Schultz | Licensed Vocational Nurse | 543 Del Rey Dr., Placentia, CA 92870 | 2016-03-18 |
| 1710350277 | Caremore Health Plan | Nurse Practitioner | 1325 N. Rose Drive #102, Placentia Linda, CA 92870 | 2015-11-05 |
| 1871999847 | Heather Ellen Johnson | Occupational Therapist | 740 S. Placentia Ave, Suite 100, Placentia, CA 92870 | 2014-11-18 |
| 1992101257 | Arcel Lopez Escoto | Physical Therapist | 740 S. Placentia Ave. Suite 100, Placentia, CA 92870 | 2014-11-14 |
| 1144642109 | Christine Taheran | Nurse Practitioner | 120 Downey Lane, Placentia, CA 92870 | 2014-01-10 |
| 1851644587 | Peter Glickman | Ophthalmology | 1050 E Yorba Linda Blvd., Suite 205, Placentia, CA 92870 | 2012-10-18 |
| 1396003844 | Jaymie Coria, D.d.s., Inc | Dentist | 302 E. Palm Drive, Suite #a, Placentia, CA 92870 | 2012-05-02 |
| 1164798609 | Adelina Rachi | Occupational Therapist | 740 S. Placentia Ave., Suite 100, Placentia, CA 92870 | 2012-03-29 |
| 1023305067 | Patricia Inez Byrne | Registered Nurse | 2001-d E. Orangethorpe Ave., Placentia, CA 92870 | 2011-06-28 |
| Find all providers in zip 92870 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446091 | Candace Maglinao | Family Medicine | 21010 Anza Ave Apt 12, Torrance, CA 90503-4254 | 2020-10-30 |
| 1942826797 | In-home Medical Mobile Services, Inc. | Family Medicine | 3400 E 8th St Ste 202, National City, CA 91950-3169 | 2020-06-17 |
| 1386269306 | Universal Mobile Doctors Inc | Family Medicine | 15333 Sherman Way Ste P, Van Nuys, CA 91406-4204 | 2020-06-16 |
| 1619597671 | Harry Eisenbach | Family Medicine | 9312 Smoketree Ln, Villa Park, CA 92861-1011 | 2020-04-20 |
| 1669092854 | Wellbeing Clinic Inc | Family Medicine | 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 | 2020-04-17 |
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1457995565 | Ucsf Medical Group Business Services | Family Medicine | 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 | 2019-10-31 |
| 1780237313 | Charles Kim Md Inc | Family Medicine | 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 | 2019-07-23 |
| 1083277206 | Baum 5 Star Healthcare | Family Medicine | 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 | 2019-04-15 |
| 1477025278 | Connexus Family Clinic Inc | Family Medicine | 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 | 2018-12-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.