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

John R Cercado, PA

Individual provider Nurse Practitioner · NPI 1497940407

John R Cercado, PA is a Physician Assistant in Modesto, California. Qualified in 2001, 25 years ago. Practices with Abidali Professional Medical Inc, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1700 Coffee Rd
Modesto, CA 95355-2803
Phone: (209) 526-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA16210 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 13918 (CA)

Record details

NPI number1497940407
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 12, 2007
Last updated in NPPESNovember 8, 2019
Mailing address1700 Coffee Rd, Modesto, CA 95355-2803

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Abidali Professional Medical Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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