Elisa A Cardenas

Key facts

NPI

1013574235

Entity type

Individual (NPI type 1)

Primary specialty

Community Health Worker 172V00000X

Practice address

3751 Stocker St
View Park, CA 90008-5101

Phone

(323) 298-3616

Fax

(323) 292-0053

NPI assigned

May 22, 2019

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 22, 2019.

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1013574235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 STOCKER ST",
            "city": "VIEW PARK",
            "state": "CA",
            "postal_code": "900085101",
            "telephone_number": "323-298-3616",
            "fax_number": "323-292-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 STOCKER ST",
            "city": "VIEW PARK",
            "state": "CA",
            "postal_code": "900085101",
            "telephone_number": "323-298-3616",
            "fax_number": "323-292-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "ELISA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in View Park, CA

• Dezetta Burnett, DSW, LCSW
• Cal Vic Family Services
• Jamie Campos, LCSW
• Nayrilin Odilia Candelario Canjura
• John Markus Canoza, LVN
• Christine Carreon
• Rene Carrillo
• Melinda Cervantes
• Christina Haejin Choi
• Ifeoma N Chukwurah, RN

All providers in View Park, CA · Community Health Worker in California