Individual provider Active NPI

Celeste L Armenta, RN, MSN, NP

  • Nurse Practitioner
  • El Centro, CA
National Provider Identifier
1124079702
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP15871 Issued in CA
Practice address
2205 Ross Ave
Suite 101
El Centro, CA 92243-3623
Phone
(760) 353-0404
Fax
(760) 353-0392
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP15871 CA Primary

Addresses

Primary practice location

2205 Ross Ave
Suite 101
El Centro, CA 92243-3623

Mailing address

9610 Granite Ridge Dr
Suite B
San Diego, CA 92123-2684
Phone (858) 810-8000

Other identifiers 2

IdentifierTypeStateIssuer
NP15871OtherCANURSE PRACTITIONER LICENS
EK495YOtherCASO. CALIFORNIA PTAN

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
NP15871CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
California Heart and Vascular Clinic LLC PastSince Oct 6, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1124079702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9610 GRANITE RIDGE DR",
            "address_2": "SUITE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232684",
            "telephone_number": "858-810-8000",
            "fax_number": "858-268-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 ROSS AVE",
            "address_2": "SUITE 101",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433623",
            "telephone_number": "760-353-0404",
            "fax_number": "760-353-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMENTA",
        "first_name": "CELESTE",
        "middle_name": "L",
        "credential": "RN, MSN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP15871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENS",
            "identifier": "NP15871",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SO. CALIFORNIA PTAN",
            "identifier": "EK495Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.