Active NPI
Yezid Alberto Callejas, N.M.D
- Naturopath
- Mesa, AZ
National Provider Identifier
1104949510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 04-799
- Practice address
- 1620 W University Dr Ste 11
Mesa, AZ 85201-5359 - Phone
- (480) 890-1800
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 04-799 | AZ | Primary |
Addresses
Primary practice location
1620 W University Dr Ste 11
Mesa, AZ 85201-5359
Mailing address
2116 W de Palma Cir
Mesa, AZ 85202-2606
Phone (480) 827-0121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-799 | AZ | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104949510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2116 W DE PALMA CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852022606",
"telephone_number": "480-827-0121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 W UNIVERSITY DR STE 11",
"city": "MESA",
"state": "AZ",
"postal_code": "852015359",
"telephone_number": "480-890-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLEJAS",
"first_name": "YEZID",
"middle_name": "ALBERTO",
"credential": "N.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "04-799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.