Individual provider Active NPI

Antonio Cardona Jr., NP

  • Nurse Practitioner
  • Granada Hills, CA
National Provider Identifier
1205552072
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95021581 Issued in CA
Practice address
15625 Odyssey Dr Unit 48
Granada Hills, CA 91344-3283
Phone
(818) 741-5683
NPI assigned
Oct 13, 2022
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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 95021581 CA Primary

Addresses

Primary practice location

15625 Odyssey Dr Unit 48
Granada Hills, CA 91344-3283

Mailing address

10316 Sepulveda Blvd # 344
Mission Hills, CA 91345-2422
Phone (818) 741-5683

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
I20230719002962 CA Practitioner - Nurse Practitioner 2769842947 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Wound Care Experts IncGroup PAC ID 3173026911, 2 clinicians
Ae Urgent Care - Van NuysGroup PAC ID 0749651750, 5 clinicians

Practice addresses (Care Compare)

Glendale, CA 91205
Phone (818) 484-6365

12444 Victory Blvd
North Hollywood, CA 91606-3199
Phone (747) 285-5554

14614 Victory Blvd
Van Nuys, CA 91411-1621
Phone (747) 264-1212

Merit-based Incentive Payment System (MIPS)

Final score
92.41 of 100Reported as group
Quality
79.31
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95021581CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Presbyterian Emergency Medical Associates CurrentSince May 1, 2023 Accepting new patients
Cardona Health Care Services, a Professional Nursing Corporation Nurse Practitioner Current Accepting new patients
Wound Care Experts Inc Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Ae Urgent Care - Van Nuys CurrentSince May 9, 2024 Accepting new patients
Integrated Wound Care Inc CurrentSince Sep 13, 2025 Accepting new patients
Restore Mobile Wound Care CurrentSince Oct 1, 2024 Accepting new patients
Hollywood Presbyterian Emergency Medical Associates, Inc. CurrentSince May 1, 2023 Accepting new patients

Locations

225 E Broadway
Ste 308
Glendale, CA 91205
Phone (818) 484-6365

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

12444 Victory Blvd
Ste 410
North Hollywood, CA 91606
Phone (747) 285-5554

10328 Reseda Blvd
Northridge, CA 91326
Phone (818) 634-0082

14614 Victory Blvd
Van Nuys, CA 91411
Phone (747) 262-0568

15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600

Interoperability endpoints

  • Direct secure messaging: antonio.cardona.1@29357.direct.athenahealth.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1205552072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10316 SEPULVEDA BLVD # 344",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452422",
            "telephone_number": "818-741-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15625 ODYSSEY DR UNIT 48",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913443283",
            "telephone_number": "818-741-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA",
        "first_name": "ANTONIO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95021581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

Verify at the official NPI Registry.