Individual provider Active NPI

Michele Ramiscal Cadelina, RN

  • Rehabilitation Registered Nurse
  • Santa Clara, CA
National Provider Identifier
1124518170
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Registered NurseTaxonomy code 163WR0400X
License
749989 Issued in CA
Practice address
2737 Walsh Ave
Santa Clara, CA 95051-0965
Phone
(408) 803-1918
Fax
(408) 228-8401
NPI assigned
May 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Registered Nurse 163WR0400X 749989 CA Primary

Addresses

Primary practice location

2737 Walsh Ave
Santa Clara, CA 95051-0965

Mailing address

2737 Walsh Ave
Santa Clara, CA 95051-0965
Phone (408) 803-1918

Other identifiers 1

IdentifierTypeStateIssuer
749989OtherCAOCCUPATIONAL MEDICINE

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
749989CAMDRehabilitation Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1124518170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 WALSH AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950510965",
            "telephone_number": "408-803-1918",
            "fax_number": "408-228-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 WALSH AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950510965",
            "telephone_number": "408-803-1918",
            "fax_number": "408-228-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADELINA",
        "first_name": "MICHELE",
        "middle_name": "RAMISCAL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "CA",
            "license": "749989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL MEDICINE",
            "identifier": "749989",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.