Mitzi Llamas Cabaltica, NP

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

608759 Issued in CA

Practice address

500 N State College Blvd Ste 1100
Orange, CA 92868-1625

Phone

(909) 901-3987

NPI assigned

Apr 29, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mitzi Cabaltica Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1083858401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N STATE COLLEGE BLVD STE 1100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681625",
            "telephone_number": "909-901-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N STATE COLLEGE BLVD STE 1100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681625",
            "telephone_number": "909-901-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALTICA",
        "first_name": "MITZI",
        "middle_name": "LLAMAS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "608759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MITZI",
            "last_name": "CABALTICA",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Catherine Denise a Amores Cabales
• Divani Getzamani Caballero Vanegas
• Ashley Caballero
• Iliana Sarahi Caballero
• Sylvia Lissette Caballero
• Brandee Cabanas
• Jason R. Caberto, D.O.
• Sarah Cabiness
• William Cable, MD
• Efren Arrieta Cabotaje Jr.

• Psychiatric/Mental Health Registered Nurse in Orange, CA
• Providers in Orange, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.