Provider Demographics
NPI:1366502502
Name:CACHERO, STEVE (MD)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:CACHERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2484 TWAIN AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-5973
Mailing Address - Country:US
Mailing Address - Phone:559-322-8437
Mailing Address - Fax:
Practice Address - Street 1:6700 N 1ST ST
Practice Address - Street 2:STE 113
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-3900
Practice Address - Country:US
Practice Address - Phone:559-435-6011
Practice Address - Fax:559-435-6027
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA48915208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A489150Medicaid
E89335Medicare UPIN
CA00A489150Medicaid