MDNP Providers

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MDNP PROVIDERS

Practice address

596 N Lake Ave
Suite 203
Pasadena, CA 91101-1455

Phone

(626) 272-5943

NPI assigned

Jul 18, 2013

Last updated

Jul 18, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

COMMUNITY HEALTH ALLIED SERVICES LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gina Castromayor

Title

President

Phone

(714) 408-6522

Specialties & licenses 4

Addresses

Tax ID family

MDNP Providers2 organizations share this tax ID, including this one

Part of

MDNP Providers

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Community Health Allied Services LLC

  dba CHAS Hospice Stockton

  • Community Based Hospice Care Agency
  • Stockton, CA
  • NPI 1962834374
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1023450087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 N LAKE AVE",
            "address_2": "SUITE 203",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 N LAKE AVE",
            "address_2": "SUITE 203",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011455",
            "telephone_number": "626-272-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDNP PROVIDERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH ALLIED SERVICES LLC",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "CASTROMAYOR",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-408-6522"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody McNulty
• Emily R McPherson
• Jonathan McQueen
• Janine McRiley
• Zoe McWatters, MD
• Me Pivot Holdings,LLC
• Meadow and Vine Marriage and Family Therapy Corp.
• Jessie Marie Meadows, MFT
• Matthew Meares
• Louis Meaux, PH.D.

• Nurse Practitioner in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.