Carolyn Oducado, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13678 Issued in CA

Practice address

565 S Azusa Way
La Puente, CA 91744-5113

Phone

(626) 913-4795

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carolyn.oducado.p1@direct.cdsdp.nextgenshare.com
• Direct secure messaging: carolyn.oducadopa.p1@direct.jwch.nextgenshare.com
• Direct secure messaging: carolyn.oducado.p2@direct.hvvmg.nextgenshare.com

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.

• Golden Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Turlock, CA
  • NPI 1356445753
  Medicare reassignment
• Minghsun Liu, M.D., PC

  • Infectious Disease Physician
  • Los Angeles, CA
  • NPI 1518309368
  Medicare reassignment
• Physicians and Surgeons Home Care Inc

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1184105231
  Medicare reassignment
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1962680421
  NPD
• Golden Valley Health Centers

  • Community/Retail Pharmacy
  • Merced, CA
  • NPI 1093817405
  NPD
• Friends of Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Ontario, CA
  • NPI 1003546342
  NPD (past)
• Friends of Family Health Center

  • Federally Qualified Health Center (FQHC)
  • La Puente, CA
  • NPI 1124758883
  NPD (past)
• Ghods Inc

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1790344869
  NPD (past)
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1487867503
  NPD (past)
• Humboldt Medical Specialist, Inc

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1689829129
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1194934380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17425 BRIARDALE LN",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928861844",
            "telephone_number": "714-342-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 S AZUSA WAY",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917445113",
            "telephone_number": "626-913-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUCADO",
        "first_name": "CAROLYN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA13678",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mimi Nishimura
• Nathan Nissani, DDS
• Nogales Medical Clinic, Inc
• Victoria Carolina Nugal
• Araceli Ochoa, OD
• Chris Oh, PHARM.D.
• Juliana Uzoma Ojukwu
• Edgar Ontiveros
• Katrina Opena
• Optimum Care

• Physician Assistant in La Puente, CA
• Providers in La Puente, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.