Individual provider Active NPI

Mario Celaya, P.A.

  • Physician Assistant
  • Lindsay, CA
National Provider Identifier
1124173786
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13774 Issued in CA
Practice address
833 Sequoia Ave Ste B
Lindsay, CA 93247-1424
Phone
(559) 562-1361
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 13774 CA Primary

Addresses

Primary practice location

833 Sequoia Ave Ste B
Lindsay, CA 93247-1424

Mailing address

833 Sequoia Ave
Lindsay, CA 93247-1424
Phone (559) 562-1361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040929001238 CA Practitioner - Physician Assistant 1456320001 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Community Health Center CurrentSince Nov 23, 2017 Accepting new patients
Erick Madrigal MD Mba Inc CurrentSince Nov 1, 2021 Accepting new patients
Aria Community Health Center CurrentSince Nov 23, 2017 Accepting new patients
Erick Madrigal, MD, Mba, Inc. Past Accepting new patients
Vida Sana Medical Group, Inc. PastSince Oct 7, 2006 Accepting new patients

Locations

1000 Skyline Blvd
Avenal, CA 93204
Phone (559) 257-3230

833 Sequoia Ave
#B
Lindsay, CA 93247
Phone (559) 562-1361

755 Sequoia Ave
Ste B
Lindsay, CA 93247
Phone (559) 562-9399

833 Sequoia Ave
Lindsay, CA 93247
Phone (559) 562-1361

222 W Henderson Ave
Porterville, CA 93257
Phone (559) 784-5483

Interoperability endpoints

  • Direct secure messaging: mario.celaya.1@6501.direct.athenahealth.com

Organizations & group practices 6

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1124173786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SEQUOIA AVE",
            "city": "LINDSAY",
            "state": "CA",
            "postal_code": "932471424",
            "telephone_number": "559-562-1361",
            "fax_number": "559-789-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SEQUOIA AVE STE B",
            "city": "LINDSAY",
            "state": "CA",
            "postal_code": "932471424",
            "telephone_number": "559-562-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELAYA",
        "first_name": "MARIO",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "13774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindsay, CA

Sources for this page

Verify at the official NPI Registry.