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

Scott Randolph Ceresnak, MD

Individual provider Adult Congenital Heart Disease Physician · NPI 1649396235

Scott Randolph Ceresnak, MD is a Pediatric Medicine in Palo Alto, California. Graduated from Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc) in 2002, 24 years ago. Practices with Lpch Medical Group Div of Lucile, a 337-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Trained at
Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc)
Licensed in
CA
In the registry since
2007
Specialties on file
5
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

725 Welch Rd
Palo Alto, CA 94304-1601
Phone: (650) 497-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence A103868 (CA)
Adult Congenital Heart Disease Physician Taxonomy 207RA0002X · Licence A103868 (CA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence A103868 (CA)
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X · Licence A103868 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A103868 (CA)

Record details

NPI number1649396235
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2007
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesCARDIAC ELECTROPHYSIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolRUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated 2002 (24 years in practice)
Group practice Lpch Medical Group Div Of Lucile — 337 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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