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Active NPI 1497940407 Individual Practitioner Male Practitioner

John R Cercado , PA

Physician Assistant • Modesto, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

John Cercado, PA is a certified Physician Assistant practicing in Modesto, CA. With approximately 25 years of clinical experience since completing medical education in 2001, John Cercado delivers high-quality medical care to the local community at 1700 COFFEE RD.

John Cercado maintains professional affiliations with Stat Med Pc A California Medical Professional Corporation, Abidali Professional Medical Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1700 Coffee Rd

Modesto, CA 953552803

Telephone 2095264500
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Modesto, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs +13.7 yrs vs City Avg
City Avg: 11.3 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
124 Specialists

Practicing in Modesto, CA (14617 Statewide)

Telehealth Adoption Rate
14.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cercado (25 Years) 25 Yrs
Modesto Specialty Average (11.3 Years) 11.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $585.00 $175.64

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA16210

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License CA 13918

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Stat Med Pc A California Medical Professional Corporation

3799 Mt Diablo Blvd, Lafayette, CA 945493515

Phone: 9252976396

Stat Med Pc A California Medical Professional Corporation

901 Sunvalley Blvd, Concord, CA 945205816

Phone: 9252344447

Stat Med Pc A California Medical Professional Corporation

5951 Lone Tree Way, Brentwood, CA 945135573

Phone: 9252344447

Stat Med Pc A California Medical Professional Corporation

4465 1st St, Livermore, CA 945514915

Phone: 9253158828

Abidali Professional Medical Inc

2001 Mchenry Ave, Modesto, CA 953503253

Phone: 2098463442

Practice Associates & Co-Workers

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

40 Associated Practitioners
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Nurse Practitioner

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Nurse Practitioner

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Nurse Practitioner

NPI 1033226774

Nurse Practitioner

Tracy Gastelum , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1033921903

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Marivic Manlulu

Registered Nurse - Registered Nurse First Assistant

NPI 1043147457
NPI 1043331788

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2019

Nurse Practitioner (License #13918 in CA)

NPI Profile Active September 12, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2007

Registered at 1700 COFFEE RD, MODESTO, CA 953552803 (Tel: 2095264500)

📍
Updated Business Mailing Address September 12, 2007

Registered at 1700 COFFEE RD, MODESTO, CA 953552803 (Tel: 2095264500)

👤
Provider Name / Credentials Updated September 12, 2007

Recorded as JOHN CERCADO, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2007

Physician Assistant (License #PA16210 in CA)

🟢
Initial NPI Registration & Enumeration September 12, 2007

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: 1497940407
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2007
Last Update: November 08, 2019
Sole Proprietor: No

Mailing Address

1700 Coffee Rd

Modesto, CA 953552803

Phone: 2095264500

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.