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SCOTT RANDOLPH CERESNAK MD NPI 1649396235


NPI Information

NPI: 1649396235
Provider Name: SCOTT RANDOLPH CERESNAK, MD
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

PECOS Registration: Yes

Address:
725 WELCH RD
PALO ALTO, CA
ZIP 94304
Phone: (650) 497-8000
Get Directions

Scott Randolph Ceresnak, MD is a pediatric cardiology pediatrics in Palo Alto, CA with 22 years of experience. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. Scott Randolph Ceresnak, MD NPI is 1649396235. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduation Year:2002

The provider's business location address is:

725 WELCH RD
PALO ALTO, CA
ZIP 94304-601
Phone: (650) 497-8000

The NPI 1649396235 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 4/11/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RA0002XInternal MedicineAdult Congenital Heart DiseaseA103868CALIFORNIANo
2207RC0000XInternal MedicineCardiovascular DiseaseA103868CALIFORNIANo
3207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyA103868CALIFORNIANo
4208000000XPediatricsA103868CALIFORNIANo
52080P0202XPediatricsPediatric CardiologyA103868CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.