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Active NPI 1265008510 Individual Practitioner Female Practitioner

Dr. Jaclyn Riana Cerceo , MD

Surgery - Plastic and Reconstructive Surgery • Colton, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jaclyn Cerceo, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Colton, CA. Practice services are available at 400 N PEPPER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 N Pepper Ave

Colton, CA 923241801

Telephone 9095803362
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Colton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Colton, CA (381 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-30
Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License MI 4301517866

A surgeon who specializes in plastic and reconstructive surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Dr. Kendall Vignaroli , MD

Student in an Organized Health Care Education/Training Program

NPI 1033859400

Doctor of Medicine (M.D.)

Neda Salami

Student in an Organized Health Care Education/Training Program

NPI 1033969316
Dr. Catherine Tran , MD

Student in an Organized Health Care Education/Training Program

NPI 1093370777

Doctor of Medicine (M.D.)

NPI 1093389181

Doctor of Medicine (M.D.)

Rohith Rao

Student in an Organized Health Care Education/Training Program

NPI 1124720446
Dr. Crista Horton , MD

Student in an Organized Health Care Education/Training Program

NPI 1174151625

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address June 30, 2026

Registered at 3601 W 13 MILE RD, ROYAL OAK, MI 480736712

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2026

Surgery (License #4301517866 in MI)

NPI Profile Active May 27, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 27, 2021

Registered at 400 N PEPPER AVE, COLTON, CA 923241801 (Tel: 9095803362)

📍
Updated Business Mailing Address May 27, 2021

Registered at 400 N PEPPER AVE, COLTON, CA 923241819 (Tel: 9095803362)

👤
Provider Name / Credentials Updated May 27, 2021

Recorded as JACLYN CERCEO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 27, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265008510
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2021
Last Update: June 30, 2026
Sole Proprietor: Yes

Mailing Address

3601 W 13 Mile Rd

Royal Oak, MI 480736712

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.