Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ethan Gabriel Cermeno, MD

Individual provider Psychiatry Physician · NPI 1538640776

Dr. Ethan Gabriel Cermeno, MD is a Psychiatry in Sacramento, California. Graduated from University of California, Davis School of Medicine in 2020, 6 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4150 V St # 1100
Sacramento, CA 95817-1460
Phone: (818) 438-8107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4610 X St, Sacramento, CA 95817-2200 — (916) 734-4111

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 18467 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 18467 (CA)

Record details

NPI number1538640776
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 26, 2018
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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