John R Cercado, PA
John R Cercado is a Physician Assistant provider (Physician Assistant) practicing in Modesto, CA, registered in the NPPES registry with NPI 1497940407 since 2007. The credential PA stands for Physician Assistant.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1497940407 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | John R Cercado |
| Credential | PA |
| Sex | Male |
| Practice address | 1700 COFFEE RD, Modesto, CA, 95355 |
| Phone | 2095264500 |
| Enumeration date | 2007-09-12 |
| Last updated in NPPES | 2019-11-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | Secondary | 13918 | CA |
| 363A00000X | Physician Assistant | Primary | PA16210 | CA |
PA — Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential
Copy-ready billing details
Provider: John Cercado, PA NPI: 1497940407 Taxonomy: 363A00000X (Physician Assistant) Address: 1700 COFFEE RD, Modesto, CA, 95355
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1629059746 | Sutter Central Valley Hospitals | Organization | General Acute Care Hospital | Modesto, CA |
| 1982678587 | Sutter Central Valley Hospitals | Organization | Emergency Medical Services (Emergency Medicine) Physician | Modesto, CA |
| 1902860802 | Jorge Garcia-Young | Individual | Radiation Oncology Physician | Modesto, CA |
| 1790743136 | Christopher Neville | Individual | Radiation Oncology Physician | Modesto, CA |
| 1851341176 | Rodger Wine | Individual | Anesthesiology Physician | Modesto, CA |
| 1861437816 | Frank Fower | Individual | Emergency Medicine Physician | Modesto, CA |
| 1114957628 | Tony Tam | Individual | Surgery Physician | Modesto, CA |
| 1831129725 | Robert Wanklin | Individual | Emergency Medicine Physician | Modesto, CA |
Verify this record
Cross-check NPI 1497940407 against the authoritative CMS record: view John R Cercado on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2019-11-08.