Provider Demographics
NPI:1457844508
Name:CLEMONS, CECILIA FIEL (AGNP-C, RN)
Entity type:Individual
Prefix:MRS
First Name:CECILIA
Middle Name:FIEL
Last Name:CLEMONS
Suffix:
Gender:
Credentials:AGNP-C, RN
Other - Prefix:
Other - First Name:CECILIA
Other - Middle Name:FIEL
Other - Last Name:DE PAZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1060 PALISADE DR.
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553
Mailing Address - Country:US
Mailing Address - Phone:925-325-5526
Mailing Address - Fax:
Practice Address - Street 1:329 PRIMROSE RD FL 2
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-4093
Practice Address - Country:US
Practice Address - Phone:888-663-6331
Practice Address - Fax:415-252-7176
Is Sole Proprietor?:No
Enumeration Date:2018-06-13
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA280600164X00000X
CA95030862363L00000X
CA95232333163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No164X00000XNursing Service ProvidersLicensed Vocational Nurse
No163W00000XNursing Service ProvidersRegistered Nurse