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MRS. CECILIA CUDIAMAT PA-C
NPI 1124299623
Physician Assistant - Medical in East Rancho Dominguez, CA

Active since March 12, 2008PECOS Enrolled
711 E ROSECRANS AVE, EAST RANCHO DOMINGUEZ, CA 90221(310) 635-5223(310) 635-2846 Get Directions Write a Review

NPPES record last updated: March 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Cecilia Cudiamat Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CECILIA CUDIAMAT PA-C (NPI 1124299623) is an individual medical provider in East Rancho Dominguez, California, licensed in California (PA16619) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124299623
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. CECILIA CUDIAMATCredential: PA-C
Location Address711 E ROSECRANS AVEEast Rancho Dominguez, CA 90221-2143
Mailing Address711 E Rosecrans AveEast Rancho Dominguez, CA 90221-2143 · (310) 635-5223 · Fax (310) 635-2846
Phone(310) 635-5223
Fax(310) 635-2846
Sole ProprietorYes
Enumeration DateMarch 12, 2008
Last NPPES UpdateMarch 13, 2008
✔ NPI 1124299623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA16619
711 E ROSECRANS AVE, East Rancho Dominguez, CA 90221
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Cecilia Cudiamat Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL MATEMOTJA, MD INC
Family Medicine
711 E ROSECRANS AVE
EAST RANCHO DOMINGUEZ, CA 90221
Los Angeles County (310) 635-5223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cecilia Cudiamat's NPI number?

The NPI number for Cecilia Cudiamat is 1124299623. It was assigned to this individual provider in the NPPES registry on March 12, 2008.

Where is Cecilia Cudiamat located?

Cecilia Cudiamat practices at 711 E Rosecrans Ave, East Rancho Dominguez, CA 90221. The listed phone number is (310) 635-5223.

What is Cecilia Cudiamat's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Cecilia Cudiamat enrolled in Medicare?

Yes. Cecilia Cudiamat is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cecilia Cudiamat was last updated on March 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.