Healthcare Provider Details

I. General information

NPI: 1285079426
Provider Name (Legal Business Name): DANIEL ALBERT CERRONE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2013
Last Update Date: 07/03/2023
Certification Date: 07/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1263 E ARQUES AVE
SUNNYVALE CA
94085-4701
US

IV. Provider business mailing address

1263 E ARQUES AVE
SUNNYVALE CA
94085-4701
US

V. Phone/Fax

Practice location:
  • Phone: 408-530-2700
  • Fax:
Mailing address:
  • Phone: 408-530-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA137196
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License NumberA137196
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberA137196
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: