Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ETHEL CERECERES
NPI 1962312769
Licensed Vocational Nurse in San Francisco, CA

Q: What is Ethel Cereceres's NPI number?

The NPI number for Ethel Cereceres is 1962312769. It was assigned to this individual provider in the NPPES registry on September 11, 2026.

Q: What is Ethel Cereceres's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethel Cereceres was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.

Active since September 11, 2026

4150 CLEMENT ST, SAN FRANCISCO, CA 94121(415) 221-4810(415) 750-6691 Get Directions Write a Review

NPPES record added: September 11, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Ethel Cereceres NPPES

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

ETHEL CERECERES (NPI 1962312769) is an individual licensed vocational nurse in San Francisco, California, licensed in California (290700) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1962312769

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameETHEL CERECERES

Location Address4150 CLEMENT STSan Francisco, CA 94121-1563

Mailing Address4150 Clement StSan Francisco, CA 94121-1563 · (415) 221-4810 · Fax (415) 750-6691

Phone(415) 221-4810

Fax(415) 750-6691

Sole ProprietorNo

Enumeration DateSeptember 11, 2026

NPPES CertifiedSeptember 11, 2026

✔ NPI 1962312769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 290700

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

4150 CLEMENT ST, San Francisco, CA 94121

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Other Providers at the Same Location NPPES 20

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

MR. SHANNON KISSINGER MSW

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